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General NPI Number Information
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NPI Number | 1073813903
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Entity Type | Individual
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Provider Name | MARC ALTER LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 6405 BLVD EAST C4
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-4121
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Country | US
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Telephone | 646-345-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E 5TH ST 4AR
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City | NEW YORK
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State | NY
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Zip | 10003-8534
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Country | US
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Telephone | 646-345-9068
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 077547
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License Number State | NY
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