MEDICARE: JULIE KAPLAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05165300	NJ

General Provider Information

NPI Number	:	1558330605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KAPLAN

Provider Business Mailing Address
First Line	:	188 HUDSON AVE
Second Line	:
City	:	TENAFLY
State	:	NJ
Zip	:	07670-1038
Country	:	US
Telephone Number	:	201-923-7327
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 CEDAR LN
Second Line	:
City	:	TEANECK
State	:	NJ
Zip	:	07666-3444
Country	:	US
Telephone Number	:	201-923-7327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/01/2014

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