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NPI 1356534655

NPI 1356534655 : EVE K MOSKOWITZ LCSW : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1356534655
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    Entity Type          |    Individual 
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    Provider Name        |    EVE K MOSKOWITZ LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2007
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    Last Update Date     |    07/26/2024
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Provider Practice Location Address
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    Address Line         |    1127 HIGH RIDGE RD STE 352 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06905-1203
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    Country              |    US
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    Telephone            |    203-642-3488
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    Fax                  |    855-672-0625
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Provider Business Mailing Address
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    Address Line         |    111 EAST AVE STE 313
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851-5014
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    Country              |    US
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    Telephone            |    203-642-3488
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    Fax                  |    800-905-4566
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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       |    R024793
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    License Number State |    NY
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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       |    004961
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    License Number State |    CT
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