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General NPI Number Information
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NPI Number | 1316688856
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Entity Type | Individual
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Provider Name | SAUDIA ANN GARNETTE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 1 ST NICHOLAS TERRACE
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City | NEW YORK
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State | NY
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Zip | 10027
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Country | US
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Telephone | 646-319-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 42 TIEMANN PL STE 219
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City | NEW YORK
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State | NY
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Zip | 10027-3305
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Country | US
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Telephone | 646-319-3588
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 092215
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License Number State | NY
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