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General NPI Number Information
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NPI Number | 1669146353
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Entity Type | Individual
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Provider Name | ARACELI FERNANDEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 646 STATE ROUTE 18 STE 206
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3722
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Country | US
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Telephone | 646-385-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 646 STATE ROUTE 18 BUILDING A, SUITE 105
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3722
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Country | US
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Telephone | 732-705-6552
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06498600
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License Number State | NJ
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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 | 44SC06126900
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License Number State | NJ
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