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General NPI Number Information
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NPI Number | 1649648551
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Entity Type | Individual
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Provider Name | RICHARD ANTHONY ROSSI LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 2400 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11208-4830
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Country | US
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Telephone | 588-681-8700
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Fax | 718-649-7040
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Provider Business Mailing Address
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Address Line | 71 W 23RD ST 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-4102
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Country | US
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Telephone | 718-681-8700
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Fax | 212-206-0969
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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 | 058406
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License Number State | NY
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