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General NPI Number Information
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NPI Number | 1437264710
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF BLOOMFIELD
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 1 MUNICIPAL PLZ ROOM 213
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-3470
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Country | US
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Telephone | 973-680-4017
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Fax | 973-680-9017
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Provider Business Mailing Address
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Address Line | 1 MUNICIPAL PLZ ROOM 213
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-3470
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Country | US
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Telephone | 973-680-4017
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Fax | 973-680-9017
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Authorized Official
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Title or Position | DIVISION SUPERVISOR
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Name | MS. KAREN LORE
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Credential | MSW
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Telephone | 973-680-4017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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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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