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General NPI Number Information
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NPI Number | 1164682308
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Entity Type | Individual
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Provider Name | FRANCINE CONWAY PH.D., LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 10 PLAZA ST E SUITE G1
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City | BROOKLYN
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State | NY
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Zip | 11238-4954
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Country | US
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Telephone | 917-902-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 838 TERRILL RD
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City | PLAINFIELD
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State | NJ
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Zip | 07062-2220
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Country | US
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Telephone | 917-902-4766
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 68014763
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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 | 72046492
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License Number State | NY
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