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General NPI Number Information
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NPI Number | 1215366018
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Entity Type | Organization
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Legal Business Name | MARIE ROTHSCHILD LCSW PLLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 142 W END AVE APT 17N
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City | NEW YORK
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State | NY
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Zip | 10023-6103
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Country | US
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Telephone | 516-536-2953
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Fax |
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Provider Business Mailing Address
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Address Line | 142 W END AVE APT 17N
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City | NEW YORK
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State | NY
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Zip | 10023-6103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE ROTHSCHILD
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Credential | LCSW
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Telephone | 516-536-2953
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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 | R019864-1
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License Number State | NY
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