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General NPI Number Information
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NPI Number | 1245948504
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Entity Type | Individual
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Provider Name | ALLIE BEL BRUNO LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 356 W 18TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4401
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Country | US
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Telephone | 212-937-4874
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Fax |
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Provider Business Mailing Address
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Address Line | 328 E 9TH ST APT 11
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City | NEW YORK
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State | NY
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Zip | 10003-7963
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Country | US
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Telephone | 203-561-7301
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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 | 117627
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License Number State | NY
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