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General NPI Number Information
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NPI Number | 1508382581
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Entity Type | Individual
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Provider Name | SHEENA LEIGH FLYNN LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | PARK SLOPE CENTER FOR MENTAL HEALTH 348 13TH STREET SUITE 203
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City | PARK SLOPE
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State | NY
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Zip | 11215-1122
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Country | US
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Telephone | 718-788-2461
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Fax | 718-788-8274
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Provider Business Mailing Address
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Address Line | 859 68TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 917-361-6055
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Fax | 718-680-6889
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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 | 069468
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License Number State | NY
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