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General NPI Number Information
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NPI Number | 1871724682
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Entity Type | Individual
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Provider Name | JULIET KEELER-LEBIEN LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 303 5TH AVE RM 1707
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City | NEW YORK
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State | NY
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Zip | 10016-6641
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Country | US
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Telephone | 917-679-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 14 HAWTHORNE AVE
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City | GLEN RIDGE
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State | NJ
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Zip | 07028-2011
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Country | US
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Telephone | 917-679-2023
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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 | 107226
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License Number State | CA
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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 | 44SC06058900
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License Number State | NJ
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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 | 118628
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5169C
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 076843-1
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License Number State | NY
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