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General NPI Number Information
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NPI Number | 1467826388
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Entity Type | Organization
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Legal Business Name | ESSICA HUGGINS
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 1600 CATON AVE # 2D
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City | BROOKLYN
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State | NY
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Zip | 11226-1001
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Country | US
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Telephone | 212-283-2768
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Fax | 212-283-2697
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Provider Business Mailing Address
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Address Line | 1600 CATON AVE # 2D
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City | BROOKLYN
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State | NY
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Zip | 11226-1001
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Country | US
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Telephone | 212-283-2768
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Fax | 212-283-2697
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ESSICA HUGGINS
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Credential | LMSW
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Telephone | 212-283-2768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 034873
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 034873
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License Number State | NY
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