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General NPI Number Information
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NPI Number | 1588164511
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Entity Type | Individual
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Provider Name | AUDREY SUZANNE ADAMS LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 2800 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11235-7800
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Country | US
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Telephone | 718-333-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 557 W 144TH ST APT 1D
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City | NEW YORK
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State | NY
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Zip | 10031-5756
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Country | US
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Telephone | 315-719-8787
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 101214
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 092748
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License Number State | NY
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