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General NPI Number Information
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NPI Number | 1740670710
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Entity Type | Individual
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Provider Name | YEDIDA COHEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 901 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11230
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Country | US
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Telephone | 347-927-9471
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Fax |
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Provider Business Mailing Address
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Address Line | 4223 BEDFORD AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-4910
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Country | US
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Telephone | 347-927-9471
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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 | 093338
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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 | 087243
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License Number State | NY
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