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General NPI Number Information
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NPI Number | 1427008994
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Entity Type | Organization
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Legal Business Name | SHAW COUNSELING SERVICES
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 211 W 56TH ST APT. 5K
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City | NEW YORK
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State | NY
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Zip | 10019-4312
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Country | US
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Telephone | 212-581-6658
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Fax |
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Provider Business Mailing Address
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Address Line | 211 W 56TH ST APT. 5K
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City | NEW YORK
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State | NY
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Zip | 10019-4312
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Country | US
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Telephone | 212-581-6658
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. DANIEL SHAW
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Credential | LCSW
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Telephone | 212-581-6658
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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 | R0541711
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License Number State | NY
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