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General NPI Number Information
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NPI Number | 1760837231
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE WOXHOLDT LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 684 MACDONOUGH ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11233-6769
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Country | US
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Telephone | 203-733-7759
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 088808
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License Number State | NY
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