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General NPI Number Information
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NPI Number | 1750948212
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Entity Type | Organization
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Legal Business Name | JULIE A FABIO LCSW PC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 74 FIRE ISLAND AVE
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City | BABYLON
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State | NY
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Zip | 11702-3531
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Country | US
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Telephone | 516-322-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 986 GARDINER DR
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City | BAY SHORE
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State | NY
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Zip | 11706-7635
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Country | US
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Telephone | 516-322-0723
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JULIE A FABIO
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Credential | LCSW
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Telephone | 516-322-0723
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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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