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General NPI Number Information
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NPI Number | 1376576439
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Entity Type | Individual
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Provider Name | BARBARA FENDEL MSSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 75 PROSPECT ST SUITE 111
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City | HUNTINGTON
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State | NY
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Zip | 11743-3382
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Country | US
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Telephone | 631-423-9021
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Fax | 631-351-1105
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Provider Business Mailing Address
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Address Line | 53 SALEM RIDGE DR
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City | HUNTINGTON
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State | NY
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Zip | 11743-3018
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Country | US
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Telephone | 631-673-3115
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Fax | 631-351-1105
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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 | PR007259-1
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License Number State | NY
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