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NPI 1942162516

NPI 1942162516 : CAROLINE SPENCER : BARRINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1942162516
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    Entity Type          |    Individual 
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    Provider Name        |    CAROLINE SPENCER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    500 CLEMENTS BRIDGE RD 
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    City                 |    BARRINGTON
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    State                |    NJ
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    Zip                  |    08007-1812
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    Country              |    US
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    Telephone            |    856-617-0486
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    426 KINGS HWY E 
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    City                 |    HADDONFIELD
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    State                |    NJ
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    Zip                  |    08033-1207
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    Country              |    US
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    Telephone            |    
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-25-495099
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    License Number State |    NJ
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