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General NPI Number Information
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NPI Number | 1356936637
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Entity Type | Organization
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Legal Business Name | SOLUTIONS MADE POSSIBLE, INC.
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 1062 ELTON ST APT 814
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City | BROOKLYN
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State | NY
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Zip | 11239-5715
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Country | US
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Telephone | 516-522-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 10201 FLATLANDS AVE UNIT 360572
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City | BROOKLYN
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State | NY
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Zip | 11236-2885
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Country | US
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Telephone | 516-522-0845
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TANEIA SAMPLE
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Credential | MSW
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Telephone | 516-522-0845
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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