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General NPI Number Information
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NPI Number | 1487715603
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Entity Type | Individual
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Provider Name | CAROLA BERNSTEIN CHASE MSW
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 350 CENTRAL PARK W SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10025-6547
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Country | US
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Telephone | 212-769-4758
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Fax | 718-796-2085
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Provider Business Mailing Address
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Address Line | 2575 PALISADE AVE APT. 7G
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City | BRONX
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State | NY
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Zip | 10463-6101
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Country | US
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Telephone | 212-769-4758
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Fax | 718-796-2085
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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 | PRO22253-1
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License Number State | NY
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