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General NPI Number Information
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NPI Number | 1558380352
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Entity Type | Individual
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Provider Name | SHARON B. WANG LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 9413 FLATLANDS AVE SUITE 101W
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City | BROOKLYN
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State | NY
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Zip | 11236-3726
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Country | US
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Telephone | 917-837-6683
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Fax | 718-604-5698
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Provider Business Mailing Address
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Address Line | 1620 AVENUE I APT. 604
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City | BROOKLYN
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State | NY
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Zip | 11230-3050
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Country | US
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Telephone | 718-377-4030
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Fax | 718-604-5698
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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 | 04567-1
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License Number State | NY
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