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NPI 1801226113

NPI 1801226113 : ANNE PEREZ : CAMDEN, NJ

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General NPI Number Information
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    NPI Number           |    1801226113
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    Entity Type          |    Individual 
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    Provider Name        |    ANNE PEREZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2013
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    Last Update Date     |    11/22/2013
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Provider Practice Location Address
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    Address Line         |    1 COOPER PLZ 
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    City                 |    CAMDEN
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    State                |    NJ
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    Zip                  |    08103-1461
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    Country              |    US
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    Telephone            |    609-781-4073
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    Fax                  |    856-361-1368
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Provider Business Mailing Address
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    Address Line         |    1 COOPER PLZ 
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    City                 |    CAMDEN
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    State                |    NJ
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    Zip                  |    08103-1461
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    Country              |    US
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    Telephone            |    609-781-4073
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    Fax                  |    856-361-1368
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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       |    44SL05268500
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    License Number State |    NJ
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