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General NPI Number Information
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NPI Number | 1063759520
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Entity Type | Organization
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Legal Business Name | ANNAMARIE SHELDON LCSW LLC
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 329 E 62ND ST
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City | NEW YORK
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State | NY
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Zip | 10065-7769
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Country | US
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Telephone | 347-263-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 37 FROST CREEK DR
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City | LOCUST VALLEY
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State | NY
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Zip | 11560-1028
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Country | US
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Telephone | 347-263-5855
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ANNAMARIE L SHELDON
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Credential | LCSW
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Telephone | 347-263-5855
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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 | 078390-1
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License Number State | NY
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