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General NPI Number Information
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NPI Number | 1083791982
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Entity Type | Individual
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Provider Name | SANDRA FEINBLUM L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 31 WASHINGTON SQUARE WEST SUITE, 6E
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-674-0885
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Fax |
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Provider Business Mailing Address
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Address Line | 158-18 RIVERSIDE DRIVE WEST APT. 1N50
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City | NEW YORK
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State | NY
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Zip | 10032-1022
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Country | US
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Telephone | 212-568-2149
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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 | R021032-1
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License Number State | NY
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