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General NPI Number Information
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NPI Number | 1336361229
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Entity Type | Individual
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Provider Name | JOAN ROBBINS BRADY LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 COURT STREET SUITE 2112
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City | BROOKLYN
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State | NY
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Zip | 11242
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Country | US
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Telephone | 718-596-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 430 CLINTON STREET APARTMENT 1
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City | BROOKLYN
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State | NY
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Zip | 11231-3579
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Country | US
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Telephone | 718-858-0219
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PR011838-1
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License Number State | NY
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