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General NPI Number Information
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NPI Number | 1427406875
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Entity Type | Individual
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Provider Name | JULIE HOPE KOTOWICZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 25-10 30TH AVE
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City | ASTORIA
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State | NY
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Zip | 11102
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Country | US
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Telephone | 718-267-4273
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Fax | 706-227-7249
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Provider Business Mailing Address
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Address Line | 30-14 CRESCENT ST SOCIAL WORK
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City | ASTORIA
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State | NY
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Zip | 11102
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Country | US
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Telephone | 718-570-3558
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Fax | 706-227-7249
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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 | 100081-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW006644
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License Number State | GA
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