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General NPI Number Information
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NPI Number | 1881984490
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Entity Type | Individual
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Provider Name | SAMANTHA SCHWIMMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 65 CENTRAL PARK W SUITE 1 D
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City | NEW YORK
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State | NY
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Zip | 10023-6007
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Country | US
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Telephone | 551-206-5866
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Fax |
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Provider Business Mailing Address
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Address Line | 155 W 68TH ST APT 23 G
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City | NEW YORK
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State | NY
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Zip | 10023-5808
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Country | US
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Telephone | 551-206-5866
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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 | 078287
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License Number State | NY
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