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General NPI Number Information
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NPI Number | 1780252585
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Entity Type | Individual
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Provider Name | ANGELICA MARIA CALEROPEREZ LSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 126 W 5TH AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-1903
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Country | US
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Telephone | 386-216-5168
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Fax |
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Provider Business Mailing Address
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Address Line | 1092 BORDENTOWN AVE
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City | PARLIN
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State | NJ
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Zip | 08859-1850
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Country | US
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Telephone | 386-216-5168
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SL06604800
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License Number State | NJ
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