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General NPI Number Information
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NPI Number | 1114051307
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Entity Type | Individual
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Provider Name | GILA FOGELMAN-UNGER CSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 8TH AVE 4F
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City | BROOKLYN
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State | NY
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Zip | 11215-1767
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Country | US
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Telephone | 718-622-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 12 VAN OVER DR
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3757
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Country | US
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Telephone | 732-679-5132
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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 | PR016502-1
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License Number State | NY
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