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General NPI Number Information
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NPI Number | 1396568390
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Entity Type | Individual
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Provider Name | REBECCA SEMAN LSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 92
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City | HAZLET
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State | NJ
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Zip | 07730-1669
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Country | US
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Telephone | 862-660-2209
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Fax |
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Provider Business Mailing Address
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Address Line | 88 WATCHUNG AVE APT 3
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1728
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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 | 44SL06763400
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License Number State | NJ
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