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General NPI Number Information
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NPI Number | 1366526493
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Entity Type | Individual
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Provider Name | GRETCHEN ELIZABETH HARTMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 565 1ST ST
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City | BROOKLYN
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State | NY
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Zip | 11215-2310
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Country | US
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Telephone | 718-854-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 147 SEELEY ST
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City | BROOKLYN
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State | NY
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Zip | 11218-1117
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Country | US
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Telephone | 718-633-9261
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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 | PR009303-1
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License Number State | NY
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