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General NPI Number Information
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NPI Number | 1679239453
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Entity Type | Individual
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Provider Name | EMMA TING BEIDERMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 80 5TH AVE RM 901
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City | NEW YORK
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State | NY
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Zip | 10011-8018
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Country | US
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Telephone | 347-267-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 664 E 18TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-1801
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Country | US
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Telephone | 718-689-3673
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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 | 099809
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License Number State | NY
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