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General NPI Number Information
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NPI Number | 1578426706
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Entity Type | Individual
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Provider Name | PHILIP FRANCIS RALEIGH LSW, LMSW
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1825 JOHN F KENNEDY BLVD FL 2
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2106
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Country | US
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Telephone | 201-395-7640
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Fax | 201-360-3650
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Provider Business Mailing Address
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Address Line | 1825 JOHN F KENNEDY BLVD FL 2
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2106
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Country | US
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Telephone | 201-395-7640
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Fax | 201-360-3650
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 01854406
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License Number State | NJ
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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 | 44SL07304400
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License Number State | NJ
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