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General NPI Number Information
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NPI Number | 1720300296
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Entity Type | Organization
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Legal Business Name | ANDREA BERKOWITZ LCSW
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 4 EXECUTIVE PARK DR
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City | ALBANY
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State | NY
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Zip | 12203-3718
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Country | US
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Telephone | 518-847-6225
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Fax |
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Provider Business Mailing Address
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Address Line | 19 VIA MARIA DR
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City | SCOTIA
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State | NY
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Zip | 12302-5726
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Country | US
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Telephone | 518-847-6225
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. ANDREA BERKOWITZ
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Credential | LCSW
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Telephone | 518-847-6225
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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 |
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License Number State | NY
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