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General NPI Number Information
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NPI Number | 1063633956
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Entity Type | Individual
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Provider Name | CAROL SPERO LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 430 EAST 86TH STREET SUITE 1F
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City | NEW YORK CITY
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-746-3804
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 YORK AVE APT 8D
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City | NEW YORK CITY
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State | NY
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Zip | 10128-7809
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Country | US
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Telephone | 212-746-3804
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Fax | 212-746-6168
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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 | PR0078431
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License Number State | NY
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