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General NPI Number Information
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NPI Number | 1427772193
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Entity Type | Individual
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Provider Name | NAKIMA EDWARDS LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 335 CENTRAL AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-4501
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Country | US
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Telephone | 646-614-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 561 TROY AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-1818
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Country | US
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Telephone | 347-309-0966
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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 | 113732-01
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License Number State | NY
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