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General NPI Number Information
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NPI Number | 1962089276
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Entity Type | Organization
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Legal Business Name | POWERFUL WOMEN'S HEALTH LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 157 BROAD ST STE 312
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City | RED BANK
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State | NJ
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Zip | 07701-2013
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Country | US
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Telephone | 732-705-6226
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Fax | 732-876-0215
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Provider Business Mailing Address
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Address Line | 157 BROAD ST STE 312
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City | RED BANK
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State | NJ
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Zip | 07701-2013
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Country | US
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Telephone | 732-705-6226
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Fax | 732-876-0215
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Authorized Official
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Title or Position | PARTNER
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Name | SAMANTHA BRESLIN
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Credential | LCSW
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Telephone | 201-724-0280
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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