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General NPI Number Information
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NPI Number | 1427928290
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Entity Type | Individual
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Provider Name | JESSICA MAY GAVZIE LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 2277 GRAND AVE
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City | BALDWIN
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State | NY
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Zip | 11510-3148
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Country | US
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Telephone | 516-377-5440
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Fax | 516-377-5445
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Provider Business Mailing Address
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Address Line | 15 NEWKIRK AVE
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1311
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Country | US
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Telephone | 516-377-5440
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Fax | 516-377-5445
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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 | 129528
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License Number State | NY
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