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General NPI Number Information
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NPI Number | 1609065838
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Entity Type | Individual
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Provider Name | JEROME LINDAUER L.C.S.W., L.S.W.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 2999 PRINCETON PIKE SUITE 6
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3261
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Country | US
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Telephone | 267-474-3201
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Fax |
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Provider Business Mailing Address
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Address Line | 7437 OVERHILL RD
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City | MELROSE PARK
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State | PA
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Zip | 19027-3326
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Country | US
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Telephone | 267-474-3201
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Fax | 215-635-5202
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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 | SC005612E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC01367900
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License Number State | NJ
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