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General NPI Number Information
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NPI Number | 1932401643
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Entity Type | Individual
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Provider Name | KERRI LYNN KOSLOFF LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 17 E CARVER ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-3409
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Country | US
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Telephone | 631-673-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 119 N PARK AVE STE 306
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4113
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Country | US
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Telephone | 516-208-3792
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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 | 086220
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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 | 081272
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License Number State | NY
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