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General NPI Number Information
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NPI Number | 1205322096
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Entity Type | Organization
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Legal Business Name | NEIL HENRY, LCSW, PC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 775 BROOKLYN AVE., SUITE 112
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-2948
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Country | US
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Telephone | 516-868-0444
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Fax | 360-272-0444
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Provider Business Mailing Address
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Address Line | 775 BROOKLYN AVE., SUITE 112
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-2948
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Country | US
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Telephone | 516-868-0444
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Fax | 360-272-0444
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MR. NEIL HENRY
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Credential | LCSW
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Telephone | 516-868-0444
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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 |
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License Number State |
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