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General NPI Number Information
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NPI Number | 1275848004
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Entity Type | Organization
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Legal Business Name | WILLIAM J. HARKER LCSW, PC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 105 MAIN ST
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City | CHESTER
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State | NY
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Zip | 10918-1354
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Country | US
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Telephone | 845-469-5395
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Fax |
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Provider Business Mailing Address
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Address Line | 105 MAIN ST
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City | CHESTER
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State | NY
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Zip | 10918-1354
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Country | US
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Telephone | 845-469-5395
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM J HARKER
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Credential | LCSW, BCD
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Telephone | 845-469-5395
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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 | PR020169
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License Number State | NY
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