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General NPI Number Information
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NPI Number | 1003064130
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Entity Type | Organization
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Legal Business Name | NORTH SHORE COUNSELING LCSW PC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 215 MILLER PLACE
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-641-0866
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Fax | 516-644-5054
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Provider Business Mailing Address
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Address Line | 215 MILLER PLACE
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-641-0866
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Fax | 516-644-5054
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. JANIS M KASDIN
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Credential | LCSW-R
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Telephone | 516-641-0866
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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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