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General NPI Number Information
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NPI Number | 1174688824
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Entity Type | Individual
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Provider Name | BARBARA HABER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 W 57TH ST SUITE 501
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City | NEW YORK
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State | NY
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Zip | 10107-0001
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Country | US
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Telephone | 212-581-3689
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Fax | 212-586-1272
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Provider Business Mailing Address
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Address Line | 25439 BATES RD
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City | LITTLE NECK
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State | NY
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Zip | 11362-1825
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Country | US
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Telephone | 718-279-4940
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Fax | 718-279-3143
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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 | R 031055-1
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License Number State | NY
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