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General NPI Number Information
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NPI Number | 1427647858
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Entity Type | Organization
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Legal Business Name | LEA N. REINHOLD, LCSW PA
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 50 UPPER MONTCLAIR PLZ # 206
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1346
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Country | US
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Telephone | 973-544-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RENA LN
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-5035
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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 | PRESIDENT
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Name | LEA REINHOLD
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Credential | LCSW
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Telephone | 973-544-8560
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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 |
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License Number State |
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