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General NPI Number Information
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NPI Number | 1215213012
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Entity Type | Individual
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Provider Name | SANDRA SYLVESTER
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 135 W 50TH ST # W
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City | NEW YORK
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State | NY
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Zip | 10020-1201
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Country | US
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Telephone | 212-304-1430
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Fax | 718-365-2777
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Provider Business Mailing Address
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Address Line | 2121 WESTBURY CT APT 3I
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City | BROOKLYN
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State | NY
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Zip | 11225-5672
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Country | US
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Telephone | 347-872-6150
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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