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General NPI Number Information
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NPI Number | 1619305091
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Entity Type | Individual
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Provider Name | JANET MANN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/20/2024
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Provider Practice Location Address
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Address Line | 333 E SHORE RD STE 206
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City | MANHASSET
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State | NY
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Zip | 11030-2900
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Country | US
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Telephone | 516-637-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 50 CENTER CT
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1964
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Country | US
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Telephone | 516-637-0067
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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 | 079176
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License Number State | NY
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