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NPI 1497826952

NPI 1497826952 : NATALIE J EDELMAN M.S.W. : LEVITTOWN, NY

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General NPI Number Information
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    NPI Number           |    1497826952
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE J EDELMAN M.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2900 HEMPSTEAD TPKE SUITE 217
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    City                 |    LEVITTOWN
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    State                |    NY
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    Zip                  |    11756-1404
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    Country              |    US
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    Telephone            |    631-673-0346
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    211 W PULASKI RD 
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    City                 |    HUNTINGTON STATION
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    State                |    NY
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    Zip                  |    11746-1522
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    Country              |    US
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    Telephone            |    
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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       |    R034424-1
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    License Number State |    NY
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