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General NPI Number Information
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NPI Number | 1902019532
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Entity Type | Individual
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Provider Name | GAIL LINDA BODZIN STRAUSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 25 WEST 81 ST SUITE 1-D
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City | NEW YORK
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State | NY
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Zip | 10024-6023
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Country | US
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Telephone | 212-595-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 5 HORIZON ROAD APT 1801
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City | FORT LEE
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State | NJ
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Zip | 07024-6641
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Country | US
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Telephone | 201-886-2051
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Fax | 201-886-9441
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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 | PR0240791
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC14347
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License Number State | NJ
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