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General NPI Number Information
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NPI Number | 1366127664
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Entity Type | Individual
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Provider Name | JENNIFER Y KANG LCSW, MS, ACM-SW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 2244 JACKSON AVE APT 3316
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-9460
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Country | US
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Telephone | 201-562-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 2244 JACKSON AVE APT 3316
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-9460
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 094244
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License Number State | NY
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