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General NPI Number Information
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NPI Number | 1316229115
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Entity Type | Individual
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Provider Name | GAYLE PARKER WRIGHT BSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 315 EMPIRE BLVD
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City | BROOKLYN
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State | NY
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Zip | 11225
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Country | US
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Telephone | 908-369-1467
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 250237
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City | BROOKLYN
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State | NY
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Zip | 11225-0237
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Country | US
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Telephone |
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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 | 44SL05914400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 082377
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 052440
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License Number State | NY
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