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General NPI Number Information
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NPI Number | 1619172764
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Entity Type | Individual
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Provider Name | HOLLY JASKIEWICZ SCHATZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 9114 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7920
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Country | US
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Telephone | 718-779-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 60 STONER AVE
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City | GREAT NECK
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State | NY
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Zip | 11021-2119
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Country | US
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Telephone | 516-241-3373
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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 |
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License Number State |
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