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General NPI Number Information
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NPI Number | 1548477847
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Entity Type | Individual
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Provider Name | KARYN RUTH PRICE LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 39-09 214TH PLACE
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 718-229-5757
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Fax | 718-939-0881
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Provider Business Mailing Address
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Address Line | 14461 ROOSEVELT AVE THE SHIELD INSTITUTE
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City | FLUSHING
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State | NY
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Zip | 11354-6252
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Country | US
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Telephone | 718-229-5757
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Fax | 718-939-0881
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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 | 051121-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 079654
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License Number State | NY
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