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General NPI Number Information
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NPI Number | 1467527812
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Entity Type | Individual
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Provider Name | PATRICIA MARIE PAYNE-MARSKY LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 3959 BROADWAY CHONY 6 NORTH
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-9923
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Fax | 212-305-6614
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Provider Business Mailing Address
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Address Line | 630 FT WASHINGTON AVE SUITE 1G
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City | NEW YORK
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State | NY
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Zip | 10040-3900
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Country | US
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Telephone | 646-387-5436
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R035325-1
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License Number State | NY
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