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General NPI Number Information
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NPI Number | 1265243331
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Entity Type | Individual
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Provider Name | JULIETTE MAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 111 TOWN SQUARE PL STE 1238
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1810
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Country | US
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Telephone | 856-433-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 2607 EDGEMONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3807
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Country | US
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Telephone | 215-279-4910
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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 | 44SC06435000
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License Number State | NJ
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