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General NPI Number Information
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NPI Number | 1659587400
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Entity Type | Individual
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Provider Name | B. JILL COMINS LICENSED SOCIAL WORK
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1158 5TH AVE #4B
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City | NEW YORK
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State | NY
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Zip | 10029-6917
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Country | US
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Telephone | 212-427-9459
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Fax | 212-876-1814
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Provider Business Mailing Address
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Address Line | 1158 5TH AVE #4B
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City | NEW YORK
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State | NY
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Zip | 10029-6917
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Country | US
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Telephone | 212-427-9459
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Fax | 212-876-1814
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | R012545-1
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License Number State | NY
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