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General NPI Number Information
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NPI Number | 1831382316
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Entity Type | Individual
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Provider Name | JANE LESLIE WILKINS PHD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 211 W 56TH STREET APT 9H
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City | NEW YORK
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State | NY
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Zip | 10019-4319
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Country | US
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Telephone | 212-977-5479
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Fax | 212-799-6805
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Provider Business Mailing Address
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Address Line | 211 W 56TH STREET APT 9H
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City | NEW YORK
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State | NY
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Zip | 10019-4318
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Country | US
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Telephone | 212-977-5479
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Fax | 212-799-6805
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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 | R0219831
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SC01469500
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License Number State | NJ
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