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General NPI Number Information
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NPI Number | 1235216649
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Entity Type | Individual
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Provider Name | JANICE MICHAELSON CSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 211 W 56TH ST #6M
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City | NEW YORK
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State | NY
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Zip | 10019-4312
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Country | US
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Telephone | 212-581-6640
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Fax | 212-579-4678
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Provider Business Mailing Address
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Address Line | 160 W END AVE #20T
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City | NEW YORK
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State | NY
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Zip | 10023-5601
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Country | US
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Telephone | 212-581-6640
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Fax | 212-579-4678
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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 | PR01225-1
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License Number State | NY
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