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General NPI Number Information
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NPI Number | 1881314037
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Entity Type | Individual
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Provider Name | LAUREN ALYSSA LINN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 3320 PARK AVE
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City | OCEANSIDE
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State | NY
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Zip | 11572-4352
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Country | US
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Telephone | 609-576-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 580 5TH AVE STE 820
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City | NEW YORK
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State | NY
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Zip | 10036-4762
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Country | US
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Telephone | 929-399-9653
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111903
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License Number State | NY
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