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General NPI Number Information
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NPI Number | 1710453451
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Entity Type | Individual
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Provider Name | MALGORZATA LIDIA BARBACH LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/20/2018
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 21 REDWOOD LN
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City | SMITHTOWN
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State | NY
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Zip | 11787-2718
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Country | US
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Telephone | 631-331-2176
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Fax | 631-792-8311
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Provider Business Mailing Address
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Address Line | 21 REDWOOD LN
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City | SMITHTOWN
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State | NY
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Zip | 11787-2718
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Country | US
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Telephone | 631-331-2176
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Fax | 631-792-8311
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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 | 086984
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License Number State | NY
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