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General NPI Number Information
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NPI Number | 1700605482
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Entity Type | Individual
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Provider Name | DANIEL S STERN LSW
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Gender | Male
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 209 COOPER AVE STE 112
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1883
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Country | US
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Telephone | 201-719-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 182 ASHLAND AVE APT A45
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-2436
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Country | US
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Telephone | 908-227-9623
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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 | 44SL07106200
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License Number State | NJ
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