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General NPI Number Information
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NPI Number | 1255028809
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Entity Type | Individual
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Provider Name | ELSAMARIE KING LSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 3835 CHESTNUT ST
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City | EMMAUS
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State | PA
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Zip | 18049-1830
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Country | US
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Telephone | 484-232-5288
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Fax |
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Provider Business Mailing Address
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Address Line | 2049 S WOOD ST
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City | ALLENTOWN
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State | PA
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Zip | 18103-5303
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Country | US
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Telephone | 484-948-5783
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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 | SW140241
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License Number State | PA
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