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General NPI Number Information
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NPI Number | 1598810459
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Entity Type | Individual
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Provider Name | MRS. JANICE KRASILOVSKY
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 344 E MAIN ST SUITE 303
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3027
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Country | US
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Telephone | 914-666-8075
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Fax | 914-666-0289
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Provider Business Mailing Address
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Address Line | 16 BORGER PL
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City | PEARL RIVER
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State | NY
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Zip | 10965-1506
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Country | US
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Telephone | 845-735-9098
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 073919-1
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License Number State | NY
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