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General NPI Number Information
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NPI Number | 1003516121
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Entity Type | Individual
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Provider Name | HEATHER LYNN FOREMAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3250 WESTCHESTER AVE STE 202
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City | BRONX
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State | NY
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Zip | 10461-4580
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Country | US
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Telephone | 917-407-2297
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 3RD AVE APT 1007
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City | NEW YORK
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State | NY
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Zip | 10035-1845
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Country | US
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Telephone | 646-584-1795
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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 | 057612
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License Number State | NY
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