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General NPI Number Information
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NPI Number | 1912036146
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Entity Type | Individual
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Provider Name | MARSHA F EDELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1165 MORRIS PARK AVE 4TH FLOOR
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City | BRONX
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State | NY
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Zip | 10461-1915
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Country | US
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Telephone | 718-430-3970
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Fax |
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Provider Business Mailing Address
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Address Line | 3 GERLACH PL
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City | LARCHMONT
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State | NY
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Zip | 10538-2721
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Country | US
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Telephone | 718-430-3970
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Fax | 718-823-4877
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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 | R0207441
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License Number State | NY
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