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General NPI Number Information
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NPI Number | 1306471198
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Entity Type | Individual
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Provider Name | DAVID P MUNCK LSW
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Gender | Male
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 1164 RARITAN AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-3653
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Country | US
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Telephone | 732-284-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 WALL RD APT C-1
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City | SPRING LAKE
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State | NJ
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Zip | 07762-2344
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Country | US
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Telephone | 917-971-5480
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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 | 44SL06534300
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License Number State | NJ
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