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General NPI Number Information
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NPI Number | 1437121506
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Entity Type | Individual
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Provider Name | LURLENE HOLDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 655 E JERSEY ST
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City | ELIZABETH
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State | NJ
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Zip | 07206-1259
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Country | US
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Telephone | 908-994-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 193 HOFFMAN BLVD
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City | EAST ORANGE
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State | NJ
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Zip | 07017-5010
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Country | US
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Telephone | 973-715-9652
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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 | 44SC05204500
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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 | SW24143
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License Number State | FL
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