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General NPI Number Information
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NPI Number | 1033833256
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Entity Type | Individual
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Provider Name | MS. EMILY GROSS
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Gender | Female
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 316 E 88TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10128-4909
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Country | US
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Telephone | 646-559-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 27TH ST APT 11V
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City | NEW YORK
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State | NY
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Zip | 10016-9228
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Country | US
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Telephone | 917-822-0348
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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 | NA
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License Number State |
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