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General NPI Number Information
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NPI Number | 1376676460
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Entity Type | Individual
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Provider Name | JEFFREY WILLIAM KARABAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 330 W 58TH ST SUITE 215
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City | NEW YORK
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State | NY
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Zip | 10019-1827
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Country | US
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Telephone | 646-425-4255
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W 76TH ST 8F
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City | NEW YORK
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State | NY
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Zip | 10023-8302
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Country | US
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Telephone | 212-496-9225
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 051410
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License Number State | NY
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