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General NPI Number Information
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NPI Number | 1457975591
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Entity Type | Organization
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Legal Business Name | JULIE BILSE PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 51 UPPER MONTCLAIR PLZ STE 17
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1340
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Country | US
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Telephone | 973-821-7843
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Fax |
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Provider Business Mailing Address
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Address Line | 66 S FULLERTON AVE APT 13
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2673
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Country | US
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Telephone | 973-821-7843
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIE BILSE
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Credential | LCSW
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Telephone | 973-821-7843
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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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