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General NPI Number Information
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NPI Number | 1619338654
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Entity Type | Organization
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Legal Business Name | JOAN PASTORE, DSW, LCSW, PLLC
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 224 E 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218-2304
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Country | US
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Telephone | 917-930-9748
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Fax |
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Provider Business Mailing Address
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Address Line | 224 E 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218-2304
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Country | US
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Telephone | 917-930-9748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOAN PASTORE
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Credential | DSW, LCSW
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Telephone | 917-930-9748
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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 | 030026
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License Number State | NY
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