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General NPI Number Information
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NPI Number | 1134962533
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Entity Type | Individual
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Provider Name | ELIMELECH FRIED LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 755 KENT AVE APT 506
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City | BROOKLYN
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State | NY
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Zip | 11249-8202
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Country | US
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Telephone | 347-661-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 130 LEE AVE STE 246
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City | BROOKLYN
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State | NY
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Zip | 11211-8031
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Country | US
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Telephone | 347-661-0418
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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 |
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License Number State |
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