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General NPI Number Information
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NPI Number | 1013305408
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Entity Type | Individual
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Provider Name | JOANNA MAULBECK
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 121 AVENUE OF THE AMERICAS FL 3
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City | NEW YORK
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State | NY
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Zip | 10013-1594
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Country | US
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Telephone | 212-941-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 13 PELHAM RD
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City | LEXINGTON
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State | MA
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Zip | 02421-5707
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Country | US
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Telephone | 781-274-6800
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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 |
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License Number State |
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