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General NPI Number Information
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NPI Number | 1689879975
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Entity Type | Individual
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Provider Name | CLAIRE MICHELE BERNARD LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 1841 BROADWAY SUITE 700
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 917-940-9042
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Fax |
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Provider Business Mailing Address
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Address Line | 195 32ND ST
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City | BROOKLYN
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State | NY
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Zip | 11232-1804
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Country | US
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Telephone | 917-865-2455
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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 | R056871-1
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License Number State | NY
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