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General NPI Number Information
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NPI Number | 1972058097
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Entity Type | Individual
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Provider Name | EMILY GILMORE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 106 STRAUBE CENTER BLVD STE F-114
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City | PENNINGTON
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State | NJ
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Zip | 08534-1449
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Country | US
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Telephone | 98-505-1526
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Fax | 609-981-6374
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Provider Business Mailing Address
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Address Line | 10302 WOODSTONE CIR
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City | PRINCETON
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State | NJ
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Zip | 08540-1037
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Country | US
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Telephone | 908-578-7186
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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 | 000223365
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License Number State | MA
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