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General NPI Number Information
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NPI Number | 1700386307
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Entity Type | Organization
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Legal Business Name | ANNAS HAVEN
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 1325 5TH AVE STE B
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City | NEW YORK
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State | NY
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Zip | 10029-2660
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Country | US
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Telephone | 212-831-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 3845 OCEAN VIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11224-1343
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ANNA SHTEYNBERG
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Credential |
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Telephone | 646-255-7929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 065660
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 065660
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License Number State | NY
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