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General NPI Number Information
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NPI Number | 1154008407
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Entity Type | Individual
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Provider Name | CARSON CLARK MSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L. LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 217 EAST 87TH ST 4TH FLOOR/P.O. BOX 656
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 212-876-7427
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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 | 120607
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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 |
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License Number State |
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