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General NPI Number Information
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NPI Number | 1437660602
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Entity Type | Individual
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Provider Name | EMILY CATHERINE MALLOY LMSW; JD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 325 RIVERSIDE DR APT 111
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City | NEW YORK
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State | NY
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Zip | 10025-4160
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Country | US
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Telephone | 917-848-6386
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Fax |
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Provider Business Mailing Address
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Address Line | 325 RIVERSIDE DR APT 111
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City | NEW YORK
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State | NY
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Zip | 10025-4160
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Country | US
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Telephone | 917-848-6386
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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 | 101083
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License Number State | NY
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