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General NPI Number Information
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NPI Number | 1801965801
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Entity Type | Individual
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Provider Name | MIRIAM RENA SPIRO J.D., C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 EAST 9TH ST. SUITE 7D
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-529-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 18 E 12TH ST APT 7B
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City | NEW YORK
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State | NY
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Zip | 10003-4477
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Country | US
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Telephone | 917-972-8313
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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 | 065740-1
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License Number State | NY
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