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General NPI Number Information
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NPI Number | 1477004786
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Entity Type | Organization
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Legal Business Name | EMILY J RIMM
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 274 MADISON AVE RM 1003
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City | NEW YORK
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State | NY
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Zip | 10016-0701
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Country | US
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Telephone | 646-450-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 185 E 85TH ST APT 19D
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City | NEW YORK
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State | NY
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Zip | 10028-2140
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Country | US
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Telephone | 646-450-6833
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. EMILY JANE RIMM
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Credential | MSW, LCSW
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Telephone | 646-450-6833
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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 | R052891-1
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License Number State | NY
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