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General NPI Number Information
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NPI Number | 1104964030
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Entity Type | Individual
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Provider Name | TRISHONNA SALOMON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 104 W 40TH ST RM 500
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City | NEW YORK
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State | NY
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Zip | 10018-3770
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Country | US
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Telephone | 646-838-4732
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Fax |
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Provider Business Mailing Address
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Address Line | 22530 MENTONE AVE
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City | LAURELTON
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State | NY
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Zip | 11413-2932
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Country | US
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Telephone | 646-397-6499
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 069164
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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 | 084081
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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 | 084081
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License Number State | NY
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