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General NPI Number Information
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NPI Number | 1952723082
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Entity Type | Individual
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Provider Name | BRECTER MORTON LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4594
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Country | US
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Telephone | 267-769-5264
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 ARBUTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21230-2910
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Country | US
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Telephone | 267-650-6319
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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 | 03728
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License Number State | GA
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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 | 06090
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License Number State | MD
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