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General NPI Number Information
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NPI Number | 1285258392
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Entity Type | Organization
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Legal Business Name | JALANA SHEREESE, LCSW, PLLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 5774 246TH CRES FL 1
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City | DOUGLASTON
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State | NY
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Zip | 11362-1908
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Country | US
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Telephone | 646-883-0197
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Fax |
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Provider Business Mailing Address
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Address Line | 24825 NORTHERN BLVD # 1J-137
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City | LITTLE NECK
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State | NY
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Zip | 11362-1211
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Country | US
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Telephone | 646-883-0197
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Fax |
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Authorized Official
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Title or Position | OWNER PRIVATE PRACTICE
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Name | DR. JALANA HARRIS
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Credential | PHD, LCSW-R
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Telephone | 646-883-0197
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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 |
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License Number State |
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