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General NPI Number Information
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NPI Number | 1609202860
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Entity Type | Individual
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Provider Name | EPAULINE FAUBERT LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 600 N 2ND ST STE 401
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City | HARRISBURG
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State | PA
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Zip | 17101-1071
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Country | US
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Telephone | 484-628-8070
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Fax | 877-794-3529
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | MIDDLETOWN
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State | CT
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Zip | 06457-8095
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Country | US
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Telephone | 610-372-8044
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Fax | 877-794-3529
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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 | CW017800
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License Number State | PA
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