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General NPI Number Information
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NPI Number | 1508050626
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Entity Type | Organization
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Legal Business Name | JOANNE DAILEY LCSW PA
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 166 BUNN DRIVE
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-683-0002
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Fax | 609-921-8355
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Provider Business Mailing Address
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Address Line | 166 BUNN DRIVE
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-683-0002
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Fax | 609-921-8355
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOANNE DAILEY
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Credential | LCSW
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Telephone | 609-683-0002
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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 | 44SC00184200
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License Number State | NJ
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