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General NPI Number Information
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NPI Number | 1194904391
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Entity Type | Organization
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Legal Business Name | CAROL A. JONES, L.C.S.W.,L.L.C.
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 2186 ROUTE 27 SUITE 2A
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1137
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Country | US
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Telephone | 732-422-0800
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Fax | 732-422-2485
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Provider Business Mailing Address
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Address Line | 17 BRAXTON DR
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4602
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Country | US
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Telephone | 908-359-1411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL A. JONES
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Credential | M.S.W., L.C.S.W.
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Telephone | 732-422-0800
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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 | 44SC04376800
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License Number State | NJ
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