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General NPI Number Information
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NPI Number | 1366643470
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Entity Type | Individual
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Provider Name | CRAIG SOLOMON M.S.W.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 W 9TH ST SUITE 4A
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City | NEW YORK
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State | NY
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Zip | 10011-8971
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Country | US
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Telephone | 917-207-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 53 HILLSIDE AVE
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City | GLEN ROCK
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State | NJ
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Zip | 07452-2528
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Country | US
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Telephone | 917-207-6170
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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 | 054289
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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 | 44SC05232500
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License Number State | NJ
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