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General NPI Number Information
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NPI Number | 1881746162
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Entity Type | Individual
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Provider Name | EDNA MUHAMMAD LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 506 LENOX AVENUE 135TH STREET HARLEM HOSPITAL MLK PAVILION 6TH FLOOR, ROOM 6111
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City | NEW YORK
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State | NY
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Zip | 10037
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Country | US
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Telephone | 212-939-4600
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Fax | 212-939-4609
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Provider Business Mailing Address
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Address Line | 545 SOUTH ST #PH
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City | PEEKSKILL
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State | NY
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Zip | 10566-3225
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Country | US
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Telephone | 914-804-4812
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Fax | 212-939-4609
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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 | 071320
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License Number State | NY
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