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General NPI Number Information
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NPI Number | 1538246137
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Entity Type | Individual
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Provider Name | JOHN F GASIEWSKI LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVE OVERLOOK HOSPITAL
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-2970
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Fax | 908-522-4888
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Provider Business Mailing Address
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Address Line | 25 LINDSLEY DR STE 100 ATTN: C. LAMPRON
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4456
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Country | US
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Telephone | 973-451-0246
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Fax | 973-451-0166
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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 | 44SC05311900
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License Number State | NJ
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