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General NPI Number Information
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NPI Number | 1366721896
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Entity Type | Individual
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Provider Name | JANICE FETROW-STEWART MSW, LSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 1665 STATE HILL RD #420
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City | WYOMISSING
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State | PA
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Zip | 19610-1900
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Country | US
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Telephone | 610-413-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 214 JOHN GLENN AVE
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City | READING
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State | PA
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Zip | 19607-2940
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Country | US
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Telephone | 610-775-2836
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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 | SW006208E
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License Number State | PA
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