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General NPI Number Information
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NPI Number | 1073927166
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Entity Type | Individual
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Provider Name | SONIA HAYNES LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 910 E 172ND ST FL 3
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City | BRONX
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State | NY
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Zip | 10460-5802
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Country | US
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Telephone | 347-767-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 150 E 45TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-3115
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Country | US
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Telephone | 212-949-4800
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1909277
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 099966
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05873300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 090692
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License Number State | NY
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