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General NPI Number Information
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NPI Number | 1467796136
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Entity Type | Individual
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Provider Name | MARLENE N SEARA LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 5 WICKS RD SUITE C
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City | BRENTWOOD
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State | NY
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Zip | 11717-3515
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Country | US
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Telephone | 631-435-2781
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Fax | 631-435-2783
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Provider Business Mailing Address
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Address Line | PO BOX 140558
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City | HOWARD BEACH
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State | NY
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Zip | 11414-0558
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Country | US
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Telephone | 917-554-6294
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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 | 0723861
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License Number State | NY
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