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General NPI Number Information
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NPI Number | 1346137056
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Entity Type | Individual
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Provider Name | UYINOMA JAMES INNEH LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 65 FROEHLICH FARM BLVD STE 77
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City | WOODBURY
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State | NY
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Zip | 11797-2926
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Country | US
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Telephone | 631-529-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 11743 SPRINGFIELD BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1540
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Country | US
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Telephone | 917-396-8884
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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 |
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License Number State |
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