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General NPI Number Information
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NPI Number | 1598471708
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Entity Type | Organization
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Legal Business Name | MICHELE D INZELBUCH
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1070 ROUTE 34 STE 214
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City | MATAWAN
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State | NJ
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Zip | 07747-3469
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Country | US
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Telephone | 732-704-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 23 N DELSEA DR UNIT B
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City | CLAYTON
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State | NJ
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Zip | 08312-1637
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Country | US
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Telephone | 856-423-7700
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Fax | 856-423-0823
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHELE D INZELBUCH
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Credential | LCSW
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Telephone | 732-647-6474
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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 |
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License Number State |
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