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General NPI Number Information
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NPI Number | 1154699957
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Entity Type | Individual
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Provider Name | KATHRYN LEIGH BRUCIA STRONG LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 123 COLUMBIA TPKE STE 202B
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2122
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Country | US
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Telephone | 908-602-7641
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Fax |
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Provider Business Mailing Address
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Address Line | 162 WESTERN AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5035
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Country | US
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Telephone | 908-399-8848
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05485400
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License Number State | NJ
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