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General NPI Number Information
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NPI Number | 1437934445
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Entity Type | Individual
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Provider Name | GRACIELA LISSETTE SAAM
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1157 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2243
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Country | US
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Telephone | 973-341-9869
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Fax |
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Provider Business Mailing Address
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Address Line | 200 POINT BREEZE DR
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City | HEWITT
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State | NJ
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Zip | 07421-1802
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Country | US
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Telephone | 201-780-8194
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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 | 44SC06192300
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License Number State | NJ
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