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General NPI Number Information
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NPI Number | 1407025372
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Entity Type | Individual
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Provider Name | LEONARD M ESTRADA LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 18 EVELYN TER
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1929
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Country | US
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Telephone | 732-250-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 18 EVELYN TER
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1929
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Country | US
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Telephone | 732-718-6196
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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 | 44SC04866100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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