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General NPI Number Information
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NPI Number | 1568292860
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Entity Type | Individual
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Provider Name | ISAAC DALSHEIMER LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE SUITE 114A
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City | ROCKVILLE CENTER
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-442-1116
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Fax | 516-953-9669
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Provider Business Mailing Address
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Address Line | 348 FRANKLIN AVE APT 3
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City | BROOKLYN
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State | NY
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Zip | 11238-1458
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Country | US
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Telephone | 919-536-9058
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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 | 125425-01
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License Number State | NY
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