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General NPI Number Information
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NPI Number | 1033749577
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Entity Type | Individual
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Provider Name | ALISON HOPE MIRANSKY LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 1906 SW 6TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33315-2001
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Country | US
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Telephone | 954-728-2454
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Fax | 954-603-2612
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Provider Business Mailing Address
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Address Line | 1931 CORDOVA RD STE 171
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2157
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Country | US
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Telephone | 954-728-2454
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Fax | 954-603-2612
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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 | SW16949
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License Number State | FL
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