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General NPI Number Information
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NPI Number | 1588858245
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Entity Type | Organization
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Legal Business Name | NADINE HEUSNER, LCSW
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 140 PROSPECT AVE SUITE 20
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City | HACKENSACK
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State | NJ
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Zip | 07601-2255
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Country | US
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Telephone | 201-927-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 492-C CEDAR LANE #233
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-927-6930
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NADINE HEUSNER
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Credential | L.C.S.W.
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Telephone | 201-927-6930
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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 | 44SC05326700
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License Number State | NJ
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