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General NPI Number Information
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NPI Number | 1386462380
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Entity Type | Individual
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Provider Name | QUAN-ASIA BAIN-JAMES
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 860 MELROSE AVE FRNT 2L
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City | BRONX
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State | NY
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Zip | 10451-5757
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Country | US
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Telephone | 917-473-6996
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Fax | 718-504-4551
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Provider Business Mailing Address
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Address Line | 89 KOHLMYER DR
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1245
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Country | US
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Telephone | 347-524-5370
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 124933
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License Number State | NY
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