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General NPI Number Information
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NPI Number | 1700393055
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Entity Type | Individual
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Provider Name | MELISSA GAIL HABER
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Gender | Female
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 1600 HARRISON AVE # G104-5
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City | MAMARONECK
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State | NY
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Zip | 10543-3145
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Country | US
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Telephone | 914-907-0443
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HARDSCRABBLE CIR
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City | ARMONK
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State | NY
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Zip | 10504-2222
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Country | US
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Telephone | 914-273-0892
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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 | 050706-1
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License Number State | NY
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