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General NPI Number Information
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NPI Number | 1790327534
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Entity Type | Individual
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Provider Name | EMILY RUDOFSKY LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 842 DURHAM RD STE 200
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City | NEWTOWN
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State | PA
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Zip | 18940-9680
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Country | US
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Telephone | 732-470-0272
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Fax |
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Provider Business Mailing Address
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Address Line | 305 JOHNSON AVE
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City | LAWRENCE
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State | NJ
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Zip | 08648-3419
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Country | US
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Telephone | 732-470-0272
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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 | 44SCO610800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SL06513900
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License Number State | NJ
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