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General NPI Number Information
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NPI Number | 1902666225
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Entity Type | Individual
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Provider Name | MARYAM HASAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5 COLUMBUS CIR
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City | NEW YORK
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State | NY
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Zip | 10019-1412
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Country | US
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Telephone | 212-305-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 98 MOUNTAIN HEIGHTS AVE
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1644
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 121712
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 30882
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07003400
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License Number State | NJ
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