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General NPI Number Information
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NPI Number | 1699216275
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Entity Type | Individual
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Provider Name | JOSEPH CHLEBOWSKI LSW
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Gender | Male
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 4400 ROUTE 9 S SUITE 1000
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City | FREEHOLD
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State | NJ
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Zip | 07728-1383
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Country | US
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Telephone | 732-610-4122
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Fax | 732-317-4969
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Provider Business Mailing Address
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Address Line | 4400 ROUTE 9 S SUITE 1000
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-610-4122
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Fax | 732-317-4969
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2015-000477
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06208400
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License Number State | NJ
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