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General NPI Number Information
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NPI Number | 1447641113
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Entity Type | Organization
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Legal Business Name | SUSAN GALPERIN, LCSW LLC
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 725 RIVER RD STE 102A
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City | EDGEWATER
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State | NJ
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Zip | 07020-1172
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Country | US
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Telephone | 201-224-3437
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Fax | 201-224-3437
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Provider Business Mailing Address
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Address Line | 1111 RIVER RD APT C33
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City | EDGEWATER
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State | NJ
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Zip | 07020-1323
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Country | US
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Telephone | 201-224-3437
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Fax | 201-224-3437
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN GALPERIN
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Credential | LCSW
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Telephone | 201-224-3437
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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 | 44SC01348700
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License Number State | NJ
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