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General NPI Number Information
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NPI Number | 1205304698
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Entity Type | Individual
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Provider Name | JOELLE FRITZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 815 SE STAFFORD DR
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City | STUART
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State | FL
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Zip | 34996-3608
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Country | US
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Telephone | 609-502-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 1294 COOPER ST APT C5
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City | EDGEWATER PARK
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State | NJ
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Zip | 08010-3003
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Country | US
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Telephone |
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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 | SW14635
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License Number State | FL
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