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General NPI Number Information
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NPI Number | 1144587791
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Entity Type | Individual
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Provider Name | MICHELE NATOLI LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 283 SPARTA AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1162
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Country | US
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Telephone | 973-534-6412
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Fax | 888-726-8448
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Provider Business Mailing Address
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Address Line | 28 ORIOLE DR
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-3116
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Country | US
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Telephone | 908-441-6144
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Fax | 888-726-8448
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05294600
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License Number State | NJ
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