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General NPI Number Information
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NPI Number | 1962857524
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Entity Type | Individual
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Provider Name | JACQUELYN ACROPOLIS MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 160 ROUTE 9
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City | BAYVILLE
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State | NJ
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Zip | 08721-1229
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Country | US
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Telephone | 732-349-1977
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Fax |
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Provider Business Mailing Address
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Address Line | 11 STARBOARD CT
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City | BRICK
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State | NJ
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Zip | 08723-6738
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Country | US
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Telephone | 732-674-6496
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06104000
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License Number State | NJ
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