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General NPI Number Information
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NPI Number | 1245392109
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Entity Type | Individual
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Provider Name | WARREN BERLAND LCSW, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 231 W 29TH ST RM 301
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City | NEW YORK
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State | NY
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Zip | 10001-5551
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Country | US
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Telephone | 212-645-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 16 BECKER HILL RD
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City | MILAN
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State | NY
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Zip | 12571-4149
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Country | US
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Telephone | 212-645-5332
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR024845-1
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License Number State | NY
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