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General NPI Number Information
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NPI Number | 1912225798
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Entity Type | Individual
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Provider Name | ROBERT JAMES NESBITT JR. MSW
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 719 LEXINGTON AVE #1
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City | BROOKLYN
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State | NY
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Zip | 11221-2244
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Country | US
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Telephone | 718-869-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 190 DOVER ST STE 3
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City | NEW HAVEN
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State | CT
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Zip | 06513-4817
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Country | US
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Telephone | 718-869-0526
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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 |
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License Number State |
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