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General NPI Number Information
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NPI Number | 1508406455
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Entity Type | Individual
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Provider Name | ANTHONY LAURANCE STARRETT L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | KIRBY FORENSIC PSYCHIATRIC CENTER WARD'S ISLAND, 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 917-658-3068
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 30TH ST APT 3L
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City | NEW YORK
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State | NY
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Zip | 10016-6464
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Country | US
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Telephone | 917-658-3068
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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 |
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License Number State |
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