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General NPI Number Information
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NPI Number | 1831680560
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Entity Type | Individual
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Provider Name | NESHAMA MARCUS LCSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 75 VERONICA AVE STE 201
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City | SOMERSET
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State | NJ
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Zip | 08873-5002
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Country | US
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Telephone | 732-246-4882
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Fax | 732-249-5633
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Provider Business Mailing Address
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Address Line | 629 CRANBURY RD FL 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4096
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Country | US
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Telephone | 732-390-7750
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Fax | 732-390-7725
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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 | 44SL05651700
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License Number State | NJ
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