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General NPI Number Information
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NPI Number | 1679610893
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Entity Type | Organization
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Legal Business Name | SHAKHMUROV COUNSELING INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 9830 67TH AVE SUITE CC
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City | REGO PARK
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State | NY
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Zip | 11374-4966
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Country | US
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Telephone | 917-846-2538
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Fax | 516-295-2808
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Provider Business Mailing Address
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Address Line | 873 CHERRY LN
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2722
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Country | US
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Telephone | 917-846-2538
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Fax | 516-295-2808
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. MARGARITA SHAKHMUROV
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Credential | LCSW
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Telephone | 917-846-2538
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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 | R055855-1
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License Number State | NY
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