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General NPI Number Information
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NPI Number | 1184238529
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Entity Type | Individual
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Provider Name | WILLIAM MORAN-BERBERENA LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 226 W 26TH STREET FL 8, OFC 10
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 347-453-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 GENOVESE LN
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City | RAHWAY
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State | NJ
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Zip | 07065-7002
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Country | US
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Telephone | 646-808-6777
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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 | SW-GTL-20-01614
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License Number State | NJ
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