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General NPI Number Information
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NPI Number | 1740485192
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Entity Type | Individual
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Provider Name | JUDITH NEWMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 5TH AVE RM 901
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City | NEW YORK
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State | NY
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Zip | 10011-8018
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Country | US
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Telephone | 212-620-0593
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E 15TH ST APT 9E
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City | NEW YORK
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State | NY
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Zip | 10003-3946
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Country | US
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Telephone | 212-254-9235
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R040594-1
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License Number State | NY
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