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General NPI Number Information
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NPI Number | 1497338024
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Entity Type | Individual
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Provider Name | KUNDONG HE LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 134 N 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3296
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Country | US
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Telephone | 718-878-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 528 40TH ST APT 3F
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City | BROOKLYN
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State | NY
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Zip | 11232-3008
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Country | US
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Telephone | 347-925-5283
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 100815
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License Number State | NY
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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 | 096595
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License Number State | NY
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