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General NPI Number Information
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NPI Number | 1255585543
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Entity Type | Individual
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Provider Name | JENNIFER MINERVA GATTI LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 2447 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10469-5915
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Country | US
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Telephone | 718-882-2111
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Fax | 718-882-2117
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Provider Business Mailing Address
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Address Line | 300 FORT WASHINGTON AVE APT. 1G
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City | NEW YORK
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State | NY
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Zip | 10032-1323
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Country | US
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Telephone | 917-667-7314
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Fax | 347-726-8096
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 073335-1
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License Number State | NY
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