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General NPI Number Information
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NPI Number | 1760068621
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Entity Type | Individual
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Provider Name | AZALEA ELSIE HOWARD LSW
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 2083 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3415
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Country | US
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Telephone | 609-222-4902
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 SILVER CT
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-3523
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Country | US
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Telephone | 201-774-1079
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 44SL05386400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44SL05386400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 868033
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05386400
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License Number State | NJ
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