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General NPI Number Information
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NPI Number | 1649258104
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Entity Type | Individual
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Provider Name | ALICE CAROL GARFINKEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 853 BROADWAY STE 1501
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City | NEW YORK
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State | NY
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Zip | 10003-4703
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Country | US
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Telephone | 917-424-3545
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Fax | 718-352-0038
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Provider Business Mailing Address
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Address Line | 13-38 ROBIN LANE BAYBRIDGE CONDOS UNIT # 71L(1FL)
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City | BAYSIDE
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State | NY
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Zip | 11360-1138
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Country | US
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Telephone | 718-352-0038
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Fax | 718-352-0038
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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 | R22633-1
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License Number State | NY
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