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General NPI Number Information
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NPI Number | 1992409064
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Entity Type | Individual
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Provider Name | GABRIELLE CYR LSW; LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 512 ALEXANDER AVE
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City | LINDEN
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State | NJ
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Zip | 07036-1437
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Country | US
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Telephone | 732-844-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 579B RARITAN RD STE 170
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City | ROSELLE
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State | NJ
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Zip | 07203-2473
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Country | US
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Telephone | 732-844-6034
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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 | 106026
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06393000
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License Number State | NJ
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