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General NPI Number Information
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NPI Number | 1457935843
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Entity Type | Individual
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Provider Name | DANIEL ALEXANDER ESIKOFF LMSW
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Gender | Male
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 50 ROUTE 25A
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City | SMITHTOWN
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State | NY
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Zip | 11787-1398
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Country | US
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Telephone | 631-862-3791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | EAST SETAUKET
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State | NY
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Zip | 11733-0430
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Country | US
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Telephone | 651-402-9486
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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 |
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License Number State | NY
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