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General NPI Number Information
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NPI Number | 1457790701
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Entity Type | Individual
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Provider Name | SHAZZIA HINES LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 60 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10013-4048
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Country | US
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Telephone | 212-788-1378
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Fax |
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Provider Business Mailing Address
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Address Line | 38 OSBORNE ST
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City | ALBANY
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State | NY
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Zip | 12202-1414
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Country | US
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Telephone | 518-470-5980
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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 | 088932
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License Number State | NY
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