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General NPI Number Information
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NPI Number | 1992948798
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Entity Type | Individual
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Provider Name | JENIFER S. FLESSEL L.M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 316 BEACH 65TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11692-1425
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Country | US
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Telephone | 718-474-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HARDING PL
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City | GLEN HEAD
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State | NY
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Zip | 11545-1416
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Country | US
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Telephone | 516-286-7123
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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 | 068778-1
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License Number State | NY
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