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General NPI Number Information
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NPI Number | 1538640354
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Entity Type | Individual
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Provider Name | MEREDITH VITALE CANN LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 2778 3RD AVE
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City | BRONX
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State | NY
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Zip | 10455-4029
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Country | US
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Telephone | 718-402-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 19 DEAN ST
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City | WESTWOOD
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State | NJ
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Zip | 07675-1812
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Country | US
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Telephone | 201-956-0482
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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 | 092477
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License Number State | NY
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