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General NPI Number Information
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NPI Number | 1487290714
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Entity Type | Individual
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Provider Name | ELIZABETH JEAN OCONNOR
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 35 E ELIZABETH AVE STE 24
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City | BETHLEHEM
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State | PA
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Zip | 18018-6505
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Country | US
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Telephone | 570-961-3361
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Fax | 570-961-3364
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Provider Business Mailing Address
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Address Line | 1919 RICHMOND RD
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City | EASTON
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State | PA
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Zip | 18040-8439
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Country | US
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Telephone | 484-541-8680
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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