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General NPI Number Information
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NPI Number | 1700073491
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Entity Type | Individual
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Provider Name | NINA LERNER L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 111 S ORANGE AVE STE 24
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1931
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Country | US
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Telephone | 973-379-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 197 VILLAGE RD
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2141
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Country | US
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Telephone | 973-953-3993
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Fax | 866-594-6140
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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 | 44SC05335100
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License Number State | NJ
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