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General NPI Number Information
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NPI Number | 1407650021
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Entity Type | Individual
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Provider Name | MIMI C MINCER, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 700 ARNDT AVE
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City | RIVERSIDE
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State | NJ
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Zip | 08075-4233
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Country | US
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Telephone | 609-309-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ARNDT AVE APT A19
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City | RIVERSIDE
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State | NJ
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Zip | 08075-4230
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Country | US
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Telephone | 609-309-2777
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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 | 44SC06537100
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License Number State | NJ
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