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General NPI Number Information
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NPI Number | 1043290216
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Entity Type | Individual
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Provider Name | KAREN MCCLAIN-MARVIN LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 01/21/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 280 MADISON AVE 608
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 646-784-7195
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Fax | 718-857-6462
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Provider Business Mailing Address
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Address Line | 280 MADISON AVE SUITE 608
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 646-784-7195
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Fax | 718-857-6462
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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 | R039911
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License Number State | NY
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