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General NPI Number Information
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NPI Number | 1568739126
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Entity Type | Individual
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Provider Name | ALLISON JOY ROVNER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 1000 ATLANTIC AVE VIRTUA CASTLE PROGRAM
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City | CAMDEN
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State | NJ
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Zip | 08104-1132
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Country | US
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Telephone | 856-246-3109
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Fax | 856-246-3107
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Provider Business Mailing Address
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Address Line | 1000 ATLANTIC AVENUE VIRTUA CASTLE PROGRAM
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City | CAMDEN
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State | NJ
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Zip | 08104
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Country | US
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Telephone | 856-246-3109
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Fax | 856-246-3107
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 44SC05258500
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License Number State | NJ
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