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General NPI Number Information
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NPI Number | 1578371068
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Entity Type | Individual
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Provider Name | EMMA WALDNER LSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1100 N FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1761
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Country | US
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Telephone | 267-715-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 44 NISSEN LN
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City | WEST HURLEY
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State | NY
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Zip | 12491-5903
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Country | US
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Telephone | 973-309-6832
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 125932
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW142387
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License Number State | PA
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