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General NPI Number Information
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NPI Number | 1750085833
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Entity Type | Organization
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Legal Business Name | JAMIE GENATT THERAPY PLLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 3333 NEW HYDE PARK RD STE 400
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1205
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Country | US
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Telephone | 516-724-2107
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N NEW RIVER DR E APT 3980
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2761
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Country | US
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Telephone | 516-724-2107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAMIE RUTH GENATT
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Credential | LCSW
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Telephone | 516-724-2107
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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 |
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License Number State |
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