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General NPI Number Information
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NPI Number | 1295584514
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Entity Type | Individual
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Provider Name | DONNAJEAN EBERT MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 1395 CHEWS LANDING RD
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021-2760
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Country | US
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Telephone | 856-888-4608
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARC LN
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City | WRIGHTSTOWN
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State | NJ
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Zip | 08562-2226
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Country | US
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Telephone |
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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 | 44SL07116300
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License Number State | NJ
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