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General NPI Number Information
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NPI Number | 1992087449
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Entity Type | Individual
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Provider Name | ANNROSE SIMON LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 09/11/2011
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Provider Practice Location Address
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Address Line | 103 E 86TH ST SUITE 5B
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City | NEW YORK
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State | NY
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Zip | 10028-1058
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Country | US
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Telephone | 212-426-8012
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Fax | 914-478-1360
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Provider Business Mailing Address
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Address Line | 2 BRAMBACH AVE SUITE 2 EAST
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City | SCARSDALE
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State | NY
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Zip | 10583-5236
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Country | US
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Telephone | 914-723-0197
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Fax | 914-478-1360
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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 | PR018657-1
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License Number State | NY
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