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General NPI Number Information
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NPI Number | 1295771913
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Entity Type | Individual
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Provider Name | ARLENE RUBIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 118 JERUSALEM AVE ROOM 1 SECOND FLOOR
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City | HICKSVILLE
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State | NY
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Zip | 11801-4906
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Country | US
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Telephone | 516-931-0777
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Fax | 718-897-6145
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Provider Business Mailing Address
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Address Line | 6260 99TH ST APT 324
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City | REGO PARK
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State | NY
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Zip | 11374-1842
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Country | US
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Telephone | 718-897-6145
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Fax | 718-897-6145
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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 | R0316451
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License Number State | NY
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