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General NPI Number Information
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NPI Number | 1497990360
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Entity Type | Individual
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Provider Name | SARA J TARULLO LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 16 E 16TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-3105
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Country | US
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Telephone | 212-924-7744
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Fax | 212-694-2786
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Provider Business Mailing Address
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Address Line | 92 MINNA ST
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City | BROOKLYN
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State | NY
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Zip | 11218-2116
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Country | US
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Telephone | 646-285-3986
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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 | 084187
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License Number State | NY
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