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General NPI Number Information
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NPI Number | 1699031724
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Entity Type | Individual
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Provider Name | SHARI GAIL LEYMAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 264 BEACH 19TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4431
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Country | US
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Telephone | 718-868-2961
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Fax |
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Provider Business Mailing Address
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Address Line | 565 PALM LN
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3023
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Country | US
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Telephone | 516-455-7334
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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 | 0507661
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License Number State | NY
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