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General NPI Number Information
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NPI Number | 1427368000
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Entity Type | Individual
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Provider Name | NICHELLE JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 826
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City | LEVITTOWN
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State | NY
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Zip | 11756-0826
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Country | US
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Telephone | 718-219-7769
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 082262
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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 | 080025
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License Number State | NY
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