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General NPI Number Information
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NPI Number | 1184104929
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Entity Type | Individual
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Provider Name | MARTA SOKOLOWSKI LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 2976 NORTHERN BLVD
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2822
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Country | US
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Telephone | 347-510-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 1731 DEKALB AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-1141
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Country | US
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Telephone | 347-581-9929
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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 | 115576
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License Number State | NY
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