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General NPI Number Information
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NPI Number | 1942340724
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Entity Type | Individual
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Provider Name | JILL A STOLBACH LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 952 5TH AVE SUITE 5C
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City | NEW YORK
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State | NY
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Zip | 10075-1740
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Country | US
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Telephone | 212-794-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 201 EAST 83RD STREET 18F
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City | NY
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-794-0049
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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 | R0338111
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License Number State | NY
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