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General NPI Number Information
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NPI Number | 1285490490
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Entity Type | Individual
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Provider Name | TAMARA THOMAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 417 MYRTLE AVE # 1013
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City | BROOKLYN
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State | NY
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Zip | 11205-2426
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Country | US
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Telephone | 917-260-9138
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Fax |
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Provider Business Mailing Address
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Address Line | 540 W 145TH ST APT 4B
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City | NEW YORK
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State | NY
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Zip | 10031-5451
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Country | US
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Telephone | 347-316-8774
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 121779
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License Number State | NY
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