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General NPI Number Information
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NPI Number | 1821983669
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Entity Type | Individual
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Provider Name | MICHELLE ESTEFANIA CASTRUITA CHAVEZ LSW
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 333 BLOOMFIELD AVE
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City | CALDWELL
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State | NJ
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Zip | 07006-5166
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Country | US
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Telephone | 201-540-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 12 HAWTHORNE CT
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City | FREEHOLD
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State | NJ
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Zip | 07728-4317
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Country | US
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Telephone | 732-682-3614
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07213400
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License Number State | NJ
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