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General NPI Number Information
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NPI Number | 1245714872
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Entity Type | Individual
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Provider Name | RUNELVY M RODRIGUEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 183 S ORANGE AVE
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City | NEWARK
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State | NJ
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Zip | 07103-2757
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Country | US
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Telephone | 862-377-3874
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Fax |
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Provider Business Mailing Address
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Address Line | 328 LAKEVIEW AVE
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City | RINGWOOD
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State | NJ
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Zip | 07456-2133
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Country | US
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Telephone | 862-377-3874
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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 | 44SC05804600
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License Number State | NJ
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