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General NPI Number Information
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NPI Number | 1700483229
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Entity Type | Individual
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Provider Name | NADINE E KANE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2001 PALMER AVE STE 205
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City | LARCHMONT
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State | NY
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Zip | 10538-2420
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Country | US
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Telephone | 917-979-8736
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Fax | 914-292-9166
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Provider Business Mailing Address
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Address Line | 2001 PALMER AVE STE 205
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City | LARCHMONT
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State | NY
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Zip | 10538-2420
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Country | US
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Telephone | 917-979-8736
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Fax | 914-292-9166
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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 | 110600
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 014173
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 097488
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License Number State | NY
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