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General NPI Number Information
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NPI Number | 1831222561
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Entity Type | Individual
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Provider Name | JONATHAN A HANFLING LMSW
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 PLAZA ST E APT. B10
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City | BROOKLYN
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State | NY
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Zip | 11238-4955
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Country | US
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Telephone | 718-857-5190
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Fax | 718-642-0123
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Provider Business Mailing Address
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Address Line | 20 PLAZA ST E APT. B10
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City | BROOKLYN
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State | NY
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Zip | 11238-4955
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Country | US
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Telephone | 718-857-5190
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Fax | 718-642-0123
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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 | 050831-1
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License Number State | NY
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