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General NPI Number Information
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NPI Number | 1598636318
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Entity Type | Individual
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Provider Name | BRETT PAXTON LSW
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Gender | Male
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2047 PA-309
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-275-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 NORTH BLVD
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City | BETHLEHEM
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State | PA
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Zip | 18017-4101
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Country | US
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Telephone | 347-424-8709
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW142685
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License Number State | PA
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