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General NPI Number Information
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NPI Number | 1962948026
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Entity Type | Organization
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Legal Business Name | JENNY YOVINE LCSW PLLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 79 TACONIC RD
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City | MILLWOOD
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State | NY
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Zip | 10546-1126
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Country | US
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Telephone | 646-872-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 79 TACONIC RD
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City | MILLWOOD
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State | NY
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Zip | 10546-1126
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Country | US
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Telephone | 646-872-8485
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNY L YOVINE
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Credential | LCSW
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Telephone | 646-872-8485
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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 | R075786-1
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License Number State | NY
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