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General NPI Number Information
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NPI Number | 1477742880
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Entity Type | Individual
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Provider Name | MARGARET ABIODUN SALISU-HORADIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 220 MAIN ST
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City | CENTER MORICHES
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State | NY
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Zip | 11934-3504
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Country | US
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Telephone | 631-874-2700
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Fax | 631-874-3786
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Provider Business Mailing Address
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Address Line | 45 ABREW ST
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City | BAY SHORE
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State | NY
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Zip | 11706-5001
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Country | US
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Telephone | 631-254-4573
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Fax | 631-254-4574
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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 | 062325-1
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License Number State | NY
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