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General NPI Number Information
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NPI Number | 1821031378
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Entity Type | Individual
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Provider Name | MARJORIE HORNIK LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 W 79TH ST SUITE 1-D
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City | NEW YORK
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State | NY
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Zip | 10024-6421
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Country | US
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Telephone | 212-222-8990
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Fax | 212-280-3535
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Provider Business Mailing Address
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Address Line | 839 W END AVE
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City | NEW YORK
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State | NY
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Zip | 10025-5350
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Country | US
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Telephone | 212-222-8990
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Fax | 212-280-3535
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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 | R031849
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License Number State | NY
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