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General NPI Number Information
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NPI Number | 1669144978
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Entity Type | Individual
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Provider Name | DANIELLE BIASOTTO STANLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 105 ROUTE 31 STE 2
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5745
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Country | US
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Telephone | 908-627-7201
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Fax |
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Provider Business Mailing Address
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Address Line | 118 ALLERTON ROAD
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City | ANNANDALE
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State | NJ
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Zip | 08801
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Country | US
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Telephone | 908-399-3340
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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 | 44SC05442200
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License Number State | NJ
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