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General NPI Number Information
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NPI Number | 1043647068
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Entity Type | Organization
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Legal Business Name | NANCY F SOLOMON, LCSW, P.C.
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 47 ROUTE 25A
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City | SETAUKET
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State | NY
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Zip | 11733-2881
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Country | US
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Telephone | 631-941-0400
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Fax | 631-941-0401
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Provider Business Mailing Address
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Address Line | PO BOX 2521
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City | SETAUKET
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State | NY
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Zip | 11733-0756
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Country | US
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Telephone | 631-941-0400
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Fax | 631-941-0401
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY F. SOLOMON
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Credential | LCSW
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Telephone | 631-941-0400
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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 |
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License Number State |
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