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General NPI Number Information
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NPI Number | 1205307907
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Entity Type | Individual
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Provider Name | SETON ELIZABETH CUCCIO LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 200 WYCKOFF ROAD 3RD FLOOR
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 862-781-3755
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Fax | 732-443-3144
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Provider Business Mailing Address
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Address Line | 200 WYCKOFF ROAD 3RD FLOOR
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 862-781-3757
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00327000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06281300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 1062616
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05910000
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License Number State | NJ
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