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General NPI Number Information
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NPI Number | 1386615847
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Entity Type | Individual
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Provider Name | ROBIN BRADY MEAD LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 270 LAFAYETTE ST SUITE 804
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City | NEW YORK
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State | NY
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Zip | 10012-2347
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Country | US
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Telephone | 917-817-8021
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WASHINGTON SQ VLG APT 11M
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City | NEW YORK
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State | NY
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Zip | 10012-1806
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Country | US
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Telephone | 917-817-8021
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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 | R055961-2
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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 | R055961
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License Number State | NY
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