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General NPI Number Information
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NPI Number | 1548335474
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Entity Type | Individual
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Provider Name | BRIAN DAVID MALAMET LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 26 COURT ST SUITE 403
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City | BROOKLYN
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State | NY
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Zip | 11242-0103
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Country | US
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Telephone | 718-855-3459
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Fax | 718-855-2430
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Provider Business Mailing Address
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Address Line | 34 TOMPKINS PLACE, GARDEN APARTMENT
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City | BROOKLYN
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State | NY
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Zip | 11231
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Country | US
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Telephone | 917-453-9286
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Fax | 718-855-3459
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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 | R058665-1
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License Number State | NY
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