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General NPI Number Information
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NPI Number | 1467527911
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Entity Type | Individual
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Provider Name | ROSEMARIE ELIZABETH GATES L.C.S.W.
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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 | 07/08/2007
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Provider Practice Location Address
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Address Line | 333 E 34TH ST SUITE 1-O
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City | NEW YORK
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State | NY
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Zip | 10016-4977
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Country | US
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Telephone | 212-613-3070
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Fax | 201-886-9622
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Provider Business Mailing Address
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Address Line | 1275 15TH ST APT 6S
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City | FORT LEE
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State | NJ
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Zip | 07024-1950
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Country | US
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Telephone | 646-320-5505
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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 | 074277-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05297200
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License Number State | NJ
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