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General NPI Number Information
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NPI Number | 1417528118
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Entity Type | Individual
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Provider Name | LAUREN RAFELSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 07/05/2021
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Provider Practice Location Address
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Address Line | 333 E SHORE RD STE 206
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City | MANHASSET
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State | NY
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Zip | 11030-2900
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Country | US
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Telephone | 516-395-6465
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Fax |
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Provider Business Mailing Address
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Address Line | 822 GREENWICH ST APT 2C
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City | NEW YORK
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State | NY
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Zip | 10014-5164
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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 | 108376-01
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License Number State | NY
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