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General NPI Number Information
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NPI Number | 1811631260
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Entity Type | Individual
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Provider Name | ILANA WEXLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 845 3RD AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10022-6630
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Country | US
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Telephone | 516-273-3629
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Fax |
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Provider Business Mailing Address
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Address Line | 50 S B B KING BLVD STE 100
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City | MEMPHIS
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State | TN
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Zip | 38103-2626
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Country | US
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Telephone | 888-996-2303
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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 | 093091
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License Number State | NY
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