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General NPI Number Information
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NPI Number | 1013163435
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Entity Type | Individual
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Provider Name | CHRISTOPHER A DOLIN LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 666 W END AVE # 9X
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City | NEW YORK
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State | NY
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Zip | 10025-7357
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Country | US
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Telephone | 212-799-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 361 W 117TH ST APT 2
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City | NEW YORK
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State | NY
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Zip | 10026-1582
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Country | US
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Telephone | 212-933-0971
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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 | 044337
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License Number State | NY
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