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General NPI Number Information
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NPI Number | 1184176588
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Entity Type | Individual
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Provider Name | FAIZA REHMAN SHEIKH-MIAN LSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 80 PARK STREET
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City | MONTCLAIR
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State | NJ
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Zip | 07042
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Country | US
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Telephone | 973-330-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 951 BOULEVARD E
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City | WEEHAWKEN
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State | NJ
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Zip | 07086-7116
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Country | US
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Telephone | 973-330-7474
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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 | 44SL05955200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05716400
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License Number State | NJ
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