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General NPI Number Information
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NPI Number | 1811400930
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Entity Type | Individual
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Provider Name | PALI BLIAR PAYNE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5205 W WOODMILL DR STE 33
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 609-781-2574
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Fax | 972-415-6429
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Provider Business Mailing Address
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Address Line | 21 TOMAHAWK CT
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City | MEDFORD
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State | NJ
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Zip | 08055-8324
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Country | US
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Telephone | 609-781-2574
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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 | Q1-0001576
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License Number State | DE
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