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General NPI Number Information
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NPI Number | 1336856129
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Entity Type | Individual
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Provider Name | DYLAN MARSHALL WILSON MSW, LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 114 JEFFERSON ST APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11206-5838
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Country | US
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Telephone | 405-255-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 888 E 6TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-7128
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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 | 117027-01
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License Number State | NY
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