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General NPI Number Information
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NPI Number | 1699230284
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Entity Type | Individual
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Provider Name | SARAH COTTONE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 3600 ROUTE 112
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City | CORAM
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State | NY
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Zip | 11727-4116
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Country | US
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Telephone | 631-920-8500
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Fax | 631-920-8501
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Provider Business Mailing Address
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Address Line | 14202 20TH AVE FL 3
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City | FLUSHING
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State | NY
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Zip | 11351-3000
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Country | US
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Telephone | 347-542-5658
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Fax | 718-445-0951
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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 | 105349
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License Number State | NY
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