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General NPI Number Information
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NPI Number | 1013766682
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Entity Type | Individual
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Provider Name | KAREN ELIZABETH FITZPATRICK LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2024
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 7403 COMMONWEA;TH BLVD.
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City | BELLEROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 646-648-0789
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 202ND ST APT 2E
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City | BAYSIDE
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State | NY
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Zip | 11360-1005
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Country | US
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Telephone | 516-978-1155
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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 | 078416
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License Number State | NY
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