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General NPI Number Information
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NPI Number | 1083816441
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Entity Type | Individual
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Provider Name | ALEKSANDRA KLYUCHNIKOVA LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | MS. A. KLYUCHNIKOVA 3107 EMMONS AVE, 2C
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-449-0182
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Fax | 718-984-3683
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Provider Business Mailing Address
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Address Line | MS. A. KLYUCHNIKOVA 3107 EMMONS AVE, APT# 2C
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-449-0182
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Fax | 718-984-3683
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 071644
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 071644
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License Number State | NY
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