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General NPI Number Information
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NPI Number | 1134170921
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Entity Type | Individual
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Provider Name | ESTHER ROSE HEITNER L.C.S.W.-R
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 41-51 EAST 11 ST. (4TH FL.)
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City | NEW YORK
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State | NY
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Zip | 10003-4600
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Country | US
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Telephone | 212-683-6644
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Fax | 212-683-6644
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Provider Business Mailing Address
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Address Line | 215 EAST 25TH ST. (3C)
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City | NEW YORK
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State | NY
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Zip | 10010-3075
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Country | US
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Telephone | 212-683-6644
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Fax | 212-683-6644
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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 | L73 036783
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License Number State | NY
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