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General NPI Number Information
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NPI Number | 1649429770
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Entity Type | Individual
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Provider Name | MAUREEN HEALY
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 1276 FULTON AVE 4TH FLOOR
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City | BRONX
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State | NY
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Zip | 10456-3402
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Country | US
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Telephone | 347-324-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 80 E 116TH ST APT. 305
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City | NEW YORK
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State | NY
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Zip | 10029-1128
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Country | US
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Telephone | 917-533-9774
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 017199
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License Number State | NY
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