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General NPI Number Information
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NPI Number | 1144790197
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Entity Type | Individual
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Provider Name | JORDAN SZABO LSW
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Gender | Female
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 07/13/2024
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Provider Practice Location Address
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Address Line | 470 N FRANKLIN TPKE STE 201
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City | RAMSEY
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State | NJ
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Zip | 07446-1385
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Country | US
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Telephone | 551-310-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 381 MACOPIN RD
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City | WEST MILFORD
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State | NJ
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Zip | 07480-3738
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Country | US
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Telephone | 973-897-2876
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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 | 44SL06400000
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License Number State | NJ
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