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General NPI Number Information
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NPI Number | 1487917589
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Entity Type | Organization
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Legal Business Name | V & C ENTERPRISE
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 1165 E 54TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2441
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Country | US
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Telephone | 347-312-5846
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Fax | 347-312-5846
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Provider Business Mailing Address
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Address Line | 1165 E 54TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2441
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Country | US
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Telephone | 347-312-5846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VALERIE CARTHEN
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Credential | LMSW
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Telephone | 347-312-5846
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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 | 059-447
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License Number State | NY
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