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General NPI Number Information
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NPI Number | 1801394051
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Entity Type | Individual
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Provider Name | EVE MARIE MCCANN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 2201 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1859
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Country | US
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Telephone | 516-296-2327
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Fax | 516-572-4725
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Provider Business Mailing Address
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Address Line | 122 CYPRESS ST
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City | FLORAL PARK
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State | NY
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Zip | 11001-3425
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Country | US
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Telephone | 516-644-1942
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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 | 081152
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License Number State | NY
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