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General NPI Number Information
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NPI Number | 1417260720
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Entity Type | Individual
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Provider Name | ANNA SHIRA ZELIG LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 212-241-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E 86TH ST APT 8M
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City | NEW YORK
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State | NY
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Zip | 10028-3000
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Country | US
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Telephone | 901-340-9580
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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 | 081896
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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 | 080457
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License Number State | NY
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