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General NPI Number Information
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NPI Number | 1881026458
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Entity Type | Individual
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Provider Name | JENNIFER A HUDSON MSW, LCSW, LCADC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 671 HOES LN W
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8021
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Country | US
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Telephone | 646-369-0616
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Fax | 732-235-5700
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Provider Business Mailing Address
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Address Line | 671 HOES LN W
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8021
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Country | US
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Telephone | 732-235-5700
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00220500
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License Number State | NJ
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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 | 6259
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License Number State | TN
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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 | C8900
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License Number State | MS
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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 | 44SC05616300
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License Number State | NJ
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