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General NPI Number Information
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NPI Number | 1538072939
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Entity Type | Individual
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Provider Name | JESSICA SARAMAGO
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 295 ROCHELLE AVE
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3937
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Country | US
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Telephone | 201-736-7837
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CLUB RD
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1537
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05723700
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License Number State | NJ
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