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General NPI Number Information
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NPI Number | 1245171065
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Entity Type | Individual
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Provider Name | SHILPA JACKMAN
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Gender |
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 50 HARRISON ST STE 212C
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City | HOBOKEN
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State | NJ
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Zip | 07030-6087
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Country | US
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Telephone | 201-948-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SEMINOLE CT
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-4511
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Country | US
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Telephone | 908-420-7416
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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 |
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License Number State | NJ
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