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General NPI Number Information
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NPI Number | 1437523081
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Entity Type | Organization
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Legal Business Name | BARRYDNAROFF LICENSED CLINICAL SOCIAL WORKER PC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 7238 113TH ST 5H
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City | FOREST HILLS
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State | NY
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Zip | 11375-4660
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Country | US
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Telephone | 718-793-9453
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Fax |
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Provider Business Mailing Address
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Address Line | 7238 113TH ST 5H
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City | FOREST HILLS
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State | NY
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Zip | 11375-4660
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Country | US
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Telephone | 718-793-9453
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MR. BARRY D NAROFF
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Credential | L.C.S.W.
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Telephone | 718-793-9453
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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 | R032126
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License Number State | NY
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