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General NPI Number Information
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NPI Number | 1760375935
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Entity Type | Individual
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Provider Name | ANALISE RODE LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1475 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3810
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Country | US
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Telephone | 212-426-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 707 S 4TH ST APT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3162
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Country | US
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Telephone | 646-441-1834
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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 | 44SL0708800
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License Number State | NJ
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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 | 127144-01
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License Number State | NY
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