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NPI 1386923712

NPI 1386923712 : KAITLIN SCHAEFFNER MSW : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1386923712
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    Entity Type          |    Individual 
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    Provider Name        |    KAITLIN SCHAEFFNER MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/16/2011
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    Last Update Date     |    08/16/2011
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Provider Practice Location Address
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    Address Line         |    2090 ADAM CLAYTON POWELL JR BLVD SUITE 780
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10027-4990
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    Country              |    US
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    Telephone            |    718-772-0209
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    527 RIVERDALE AVE APT 7N
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10705-3568
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    Country              |    US
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    Telephone            |    
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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       |    P81398
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    License Number State |    NY
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