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General NPI Number Information
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NPI Number | 1619263779
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Entity Type | Individual
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Provider Name | DUVID SPIRA LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 5302 15TH AVE APT 1G
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City | BROOKLYN
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State | NY
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Zip | 11219-4331
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Country | US
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Telephone | 718-501-2308
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Fax | 347-435-0904
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Provider Business Mailing Address
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Address Line | 5314 16TH AVE # 184
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City | BROOKLYN
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State | NY
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Zip | 11204-1425
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Country | US
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Telephone | 718-501-2308
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Fax | 347-435-0904
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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 | 078674
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License Number State | NY
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