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General NPI Number Information
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NPI Number | 1891412664
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Entity Type | Individual
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Provider Name | SARAH A SIMON LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 50 W HAWTHORNE AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-6223
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Country | US
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Telephone | 516-569-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 14724 71ST AVE APT A
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City | FLUSHING
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State | NY
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Zip | 11367-2009
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Country | US
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Telephone | 516-606-9368
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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 |
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License Number State |
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