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General NPI Number Information
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NPI Number | 1134823867
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Entity Type | Individual
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Provider Name | ASIA M BASH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 140 BERGEN ST
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City | NEWARK
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State | NJ
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Zip | 07103-2425
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Country | US
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Telephone | 973-972-0746
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BALDWIN ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-1302
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Country | US
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Telephone | 201-680-8652
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SC06472700
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License Number State | NJ
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