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General NPI Number Information
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NPI Number | 1861881567
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Entity Type | Individual
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Provider Name | JANICE STEPANCZUK LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 217 CHURCH RD
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City | NORTH WALES
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State | PA
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Zip | 19454-4111
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Country | US
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Telephone | 267-409-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 160 WELLINGTON SQ
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City | SOUDERTON
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State | PA
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Zip | 18964-1791
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Country | US
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Telephone | 708-227-6948
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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 | 34005825A
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License Number State | IN
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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 | 149000932
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW020589
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License Number State | PA
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