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General NPI Number Information
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NPI Number | 1477138394
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Entity Type | Individual
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Provider Name | MS. SHERELL HOOKS
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Gender | Female
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 120 W 31ST ST
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City | NEW YORK
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State | NY
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Zip | 10001-3407
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Country | US
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Telephone | 917-994-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 841 HARTMAN LN
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1824
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Country | US
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Telephone | 646-770-6802
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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 |
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License Number State |
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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 | 112143
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License Number State | NY
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