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General NPI Number Information
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NPI Number | 1205547866
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Entity Type | Individual
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Provider Name | EMILY BRENNAN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 4 AUER CT STE G
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5826
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Country | US
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Telephone | 201-362-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 712 ABBY RD
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-6502
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Country | US
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Telephone | 201-362-7171
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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 | 44SL06537000
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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 | 44SC06389100
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License Number State | NJ
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