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General NPI Number Information
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NPI Number | 1548804289
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Entity Type | Individual
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Provider Name | SHANA SPIER LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 107 E MOUNT PLEASANT AVE STE 8
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3038
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Country | US
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Telephone | 929-231-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 113 E CEDAR ST
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4036
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Country | US
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Telephone | 929-231-9384
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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 | 22186
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05894600
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License Number State | NJ
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