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General NPI Number Information
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NPI Number | 1669063848
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Entity Type | Individual
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Provider Name | BRENDA GAYLE ZUBAY LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 244 5TH AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10001-7934
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Country | US
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Telephone | 518-768-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 297 BLUE MOUNTAIN RD
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City | SAUGERTIES
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State | NY
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Zip | 12477-3550
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Country | US
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Telephone | 832-277-5882
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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 | 078893
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License Number State | NY
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