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General NPI Number Information
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NPI Number | 1790877652
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Entity Type | Individual
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Provider Name | DEBORAH JANE KARNBAD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 102 45 67TH ROAD SUITE 1T
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-997-9536
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Fax |
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Provider Business Mailing Address
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Address Line | 22 SHADY LN
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City | WESTBURY
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State | NY
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Zip | 11590-3482
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Country | US
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Telephone | 718-997-9536
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Fax | 516-977-3266
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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 | PR0202471
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License Number State | NY
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