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General NPI Number Information
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NPI Number | 1417194309
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Entity Type | Individual
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Provider Name | BARBARA LYNNE ROSEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 14109 72ND AVE
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City | KEW GARDENS HILLS
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State | NY
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Zip | 11367-2331
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Country | US
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Telephone | 718-544-0453
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 45TH AVE
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City | ELMHURST
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State | NY
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Zip | 11373-3545
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Country | US
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Telephone | 718-478-2900
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Fax | 718-478-3456
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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 | 070288
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License Number State | NY
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