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General NPI Number Information
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NPI Number | 1548835663
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Entity Type | Individual
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Provider Name | CHRISTOPHER P BOBER LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 625 CENTRAL AVE 2ND FLOOR ROOM 8
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City | WESTFIELD
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State | NJ
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Zip | 07090-2524
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Country | US
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Telephone | 201-228-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 144 FLORENCE AVE
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City | COLONIA
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State | NJ
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Zip | 07067-1813
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Country | US
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Telephone | 973-902-5285
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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 | 44SC06184100
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License Number State | NJ
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