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General NPI Number Information
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NPI Number | 1750756334
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Entity Type | Individual
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Provider Name | FATOUMATA NIAKATE LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 205 HUDSON ST
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City | NEW YORK
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State | NY
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Zip | 10013-1803
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Country | US
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Telephone | 646-770-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 7TH AVE APT 37
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City | NEW YORK
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State | NY
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Zip | 10030-1829
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Country | US
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Telephone | 927-371-9367
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 096494
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 089776
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License Number State | NY
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