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NPI 1356464408

NPI 1356464408 : MS. BARBARA JANE SIME : MONTCLAIR, NJ

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General NPI Number Information
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    NPI Number           |    1356464408
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    Entity Type          |    Individual 
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    Provider Name        |    MS. BARBARA JANE SIME
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    01/23/2018
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Provider Practice Location Address
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    Address Line         |    8 HILLSIDE AVE STE 108 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07042-2129
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    Country              |    US
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    Telephone            |    973-900-1539
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    Fax                  |    973-571-0994
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Provider Business Mailing Address
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    Address Line         |    22 WOODLAND AVE 
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    City                 |    VERONA
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    State                |    NJ
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    Zip                  |    07044-2813
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    Country              |    US
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    Telephone            |    973-571-0993
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    Fax                  |    973-571-0995
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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       |    44SC04750500
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    License Number State |    NJ
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