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General NPI Number Information
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NPI Number | 1992376230
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Entity Type | Organization
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Legal Business Name | VERVE PSYCHOTHERAPY LCSW, PLLC
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 10 HALLETTS PT APT 1201
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City | ASTORIA
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State | NY
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Zip | 11102-4689
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Country | US
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Telephone | 212-287-4027
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Fax | 888-597-2377
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Provider Business Mailing Address
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Address Line | 10 HALLETTS PT APT 1201
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City | ASTORIA
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State | NY
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Zip | 11102-4689
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Country | US
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Telephone | 212-287-4027
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Fax | 888-597-2377
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MATTHEW BRAMAN
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Credential | LCSW
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Telephone | 212-287-4027
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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 |
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License Number State |
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