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General NPI Number Information
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NPI Number | 1609947803
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Entity Type | Individual
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Provider Name | SHERYL LYNN ATLAS MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 7 FRANKLIN AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-1251
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Country | US
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Telephone | 516-766-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 129 E WALNUT ST
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City | LONG BEACH
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State | NY
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Zip | 11561-3517
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Country | US
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Telephone | 516-766-5843
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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 | P022043-1
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License Number State | NY
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