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General NPI Number Information
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NPI Number | 1649757576
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Entity Type | Individual
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Provider Name | MOSHE BROWNSTEIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 6800 N CALIFORNIA AVE APT 1P
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City | CHICAGO
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State | IL
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Zip | 60645-4561
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Country | US
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Telephone | 773-331-7607
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Fax |
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Provider Business Mailing Address
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Address Line | 164 MONTAGUE CITY RD APT 1F
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City | TURNERS FALLS
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State | MA
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Zip | 01376-1823
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Country | US
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Telephone | 773-331-7607
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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 | 149.021001
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.102194
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1121131
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License Number State | MA
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