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General NPI Number Information
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NPI Number | 1750696258
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Entity Type | Individual
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Provider Name | SANDR F STEIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 962 MANOR RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314
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Country | US
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Telephone | 718-982-5944
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EAST MACON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-1315
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Country | US
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Telephone | 718-966-2386
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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 | 0236071
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License Number State | NY
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