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General NPI Number Information
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NPI Number | 1326556564
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Entity Type | Individual
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Provider Name | SALVATRICE ROSALIA POLIZZOTTO MSW, LCSW LLC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 249 BLOOMFIELD AVENUE 2ND FLOOR
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City | CALDWELL
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State | NJ
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Zip | 07006
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Country | US
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Telephone | 973-619-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 453 SECOND AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1509
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05815800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SL05815800
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License Number State | NJ
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