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General NPI Number Information
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NPI Number | 1356956445
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Entity Type | Individual
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Provider Name | RACHEL CONSTANCE LSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | MARGO RAPPAPORT 193 US 9 SUITE 2D
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 732-658-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 137B STONY HILL RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-1383
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Country | US
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Telephone | 173-269-3164
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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 | 44SC06218200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05077800
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License Number State |
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