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NPI 1205901873

NPI 1205901873 : PAULINE BADHAM PINTO CSW : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1205901873
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    Entity Type          |    Individual 
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    Provider Name        |    PAULINE BADHAM PINTO CSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1 W 64TH ST SUITE 1B
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-6734
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    Country              |    US
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    Telephone            |    212-873-5956
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    Fax                  |    212-579-6190
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Provider Business Mailing Address
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    Address Line         |    1 W 72ND ST APT. 65
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-3486
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    Country              |    US
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    Telephone            |    212-873-5956
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    Fax                  |    212-579-6190
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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       |    PR022090-1
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    License Number State |    NY
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