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General NPI Number Information
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NPI Number | 1154111300
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Entity Type | Individual
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Provider Name | MICHAEL PETER MEADE LSW
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Gender | Male
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 10 SOUTHARD ST
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City | TRENTON
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State | NJ
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Zip | 08609-1020
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Country | US
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Telephone | 609-396-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 GORSON DR
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City | WARMINSTER
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State | PA
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Zip | 18974-1924
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Country | US
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Telephone | 805-340-0524
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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 | 44SL07264000
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License Number State | NJ
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