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General NPI Number Information
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NPI Number | 1396146288
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Entity Type | Individual
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Provider Name | KATHRYN E SEDGWICK LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 7 W 30TH ST, NEW YORK, NY 10001
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City | NEW YORK
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State | NY
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Zip | 10010-5205
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Country | US
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Telephone | 212-725-7850
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 HENRY HUDSON PKWY APT 6A
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City | BRONX
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State | NY
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Zip | 10463-1559
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Country | US
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Telephone | 917-751-0403
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Fax | 212-206-7486
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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