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General NPI Number Information
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NPI Number | 1659829422
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Entity Type | Individual
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Provider Name | AMY SCHWARTZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 1474 3RD AVE APT 4N
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City | NEW YORK
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State | NY
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Zip | 10028-1931
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Country | US
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Telephone | 917-697-5094
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Fax |
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Provider Business Mailing Address
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Address Line | 1474 3RD AVE APT 4N
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City | NEW YORK
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State | NY
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Zip | 10028-1931
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Country | US
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Telephone |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 9251325
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License Number State | NY
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