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General NPI Number Information
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NPI Number | 1487267183
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Entity Type | Individual
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Provider Name | ANDREW WALSH LSW
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Gender | Male
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 147 COLUMBIA TPKE STE 305
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2145
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Country | US
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Telephone | 973-978-5502
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Fax |
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Provider Business Mailing Address
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Address Line | 147 COLUMBIA TPKE STE 305
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2145
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Country | US
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Telephone | 973-978-5502
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 44SL06432800
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License Number State | NJ
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