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General NPI Number Information
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NPI Number | 1992537922
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Entity Type | Individual
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Provider Name | SAMANTHA BETH ABOODY LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 7 W 36TH ST FL 15
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City | NEW YORK
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State | NY
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Zip | 10018-7151
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Country | US
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Telephone | 212-203-9792
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Fax |
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Provider Business Mailing Address
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Address Line | 181 7TH AVE APT 6D
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City | NEW YORK
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State | NY
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Zip | 10011-1856
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Country | US
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Telephone | 551-427-9969
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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 | 123720
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License Number State | NY
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