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General NPI Number Information
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NPI Number | 1568796464
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Entity Type | Individual
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Provider Name | TIFFANY ENGESSER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 87 37 PALERMO STREET
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City | HOLLISWOOD
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State | NY
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Zip | 11423-5806
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Country | US
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Telephone | 718-776-8181
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Fax | 718-776-8572
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Provider Business Mailing Address
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Address Line | 8737 PALERMO STREET
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City | HOLLISWOOD
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State | NY
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Zip | 11423-5018
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Country | US
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Telephone | 718-776-8181
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Fax | 718-776-8572
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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 | 078510
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License Number State | NY
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