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General NPI Number Information
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NPI Number | 1730599309
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Entity Type | Individual
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Provider Name | AMY GOLDBERG MSW
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 271 NORTH AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5104
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Country | US
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Telephone | 914-235-3674
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MOUNTAIN VIEW AVE
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City | ROSENDALE
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State | NY
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Zip | 12472-9666
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Country | US
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Telephone | 914-275-6761
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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 |
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License Number State |
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