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General NPI Number Information
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NPI Number | 1801122783
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Entity Type | Individual
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Provider Name | ALYSSA BARENBAUM LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 915 E 17TH ST APT 516
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City | BROOKLYN
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State | NY
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Zip | 11230-3750
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Country | US
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Telephone | 347-275-7324
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Fax | 347-275-7324
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Provider Business Mailing Address
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Address Line | 915 E 17TH ST APT 516
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City | BROOKLYN
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State | NY
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Zip | 11230-3750
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Country | US
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Telephone | 347-275-7324
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Fax | 347-275-7324
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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 | 075119-1
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License Number State | NY
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