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General NPI Number Information
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NPI Number | 1376177162
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Entity Type | Individual
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Provider Name | DARLINE DESAMOURS SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 45 W WEST JERSEY AVE
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-2629
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Country | US
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Telephone | 609-271-0662
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Fax | 609-568-6764
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Provider Business Mailing Address
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Address Line | 130 WEDGEWOOD DR
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-5266
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Country | US
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Telephone | 609-271-0662
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Fax | 609-568-6764
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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 |
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License Number State |
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