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General NPI Number Information
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NPI Number | 1609075647
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Entity Type | Individual
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Provider Name | IRENE BRACCINI LICENSED CLINICAL SO
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 111 NORTH CENTRAL AVE SUITE 275 ANNE NEWMAN LCSW
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 845-430-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 127 HIGHVIEW AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709
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Country | US
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Telephone | 914-337-6717
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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 | 070842
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License Number State | NY
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