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General NPI Number Information
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NPI Number | 1871945238
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Entity Type | Organization
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Legal Business Name | LINDA HYMAN, LCSW, PC
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 823 W JERICHO TPKE SUITE 5C
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City | SMITHTOWN
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State | NY
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Zip | 11787-3216
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Country | US
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Telephone | 631-864-2682
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Fax |
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Provider Business Mailing Address
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Address Line | 31 CARDINAL LN
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2223
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Country | US
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Telephone | 631-864-2682
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA HYMAN
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Credential | LCSW
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Telephone | 631-864-2682
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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 | 0824771
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License Number State | NY
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