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General NPI Number Information
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NPI Number | 1134838881
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Entity Type | Individual
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Provider Name | JAMES MACAULAY MCMANUS LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 2550 22ND ST # 3
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City | ASTORIA
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State | NY
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Zip | 11102-2934
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Country | US
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Telephone | 518-505-0534
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 BROADWAY STE 923
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City | NEW YORK
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State | NY
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Zip | 10010-2007
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Country | US
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Telephone | 518-505-0534
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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 | 118147
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License Number State | NY
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