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General NPI Number Information
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NPI Number | 1417506924
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Entity Type | Individual
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Provider Name | ENGLIDE CAJUSTE CLINICAL SOCIAL WORK
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 56 EAST AVE
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City | AUSTIN
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State | TX
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Zip | 78701-4323
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Country | US
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Telephone | 908-468-9325
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Fax |
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Provider Business Mailing Address
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Address Line | 525 ROUTE 73 N STE 104
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City | MARLTON
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State | NJ
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Zip | 08053-3422
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Country | US
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Telephone | 908-468-9325
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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 | SW24941
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License Number State | FL
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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 | LC24863
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05876200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 103859
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License Number State | TX
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