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General NPI Number Information
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NPI Number | 1669969101
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Entity Type | Organization
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Legal Business Name | MERIS POWELL, INC.
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 25 E 10TH ST SUITE 1D
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-579-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E 10TH ST SUITE 1D
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-579-2100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MERIS POWELL
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Credential | MA, LCSW, FIPA
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Telephone | 212-579-2100
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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 | R069825
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License Number State | NY
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