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General NPI Number Information
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NPI Number | 1871091447
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Entity Type | Individual
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Provider Name | CARLI JANINE WARGO LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 115 W 31ST ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10001-3596
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Country | US
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Telephone | 818-817-1928
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Fax |
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Provider Business Mailing Address
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Address Line | 68 BRADHURST AVE APT 8T
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City | NEW YORK
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State | NY
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Zip | 10039-3313
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 100377
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 091664
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License Number State | NY
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