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General NPI Number Information
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NPI Number | 1013991793
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Entity Type | Individual
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Provider Name | EVA JACQUELINE USADI MA, BCD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 WEST 9TH STREET SUITE 5E
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City | NEW YORK
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State | NY
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Zip | 10011-8922
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Country | US
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Telephone | 212-532-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 438 12TH STREET #3A
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City | BROOKLYN
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State | NM
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Zip | 11215-5190
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Country | US
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Telephone | 718-832-2327
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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 | R045519-1
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License Number State | NY
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