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General NPI Number Information
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NPI Number | 1992997357
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Entity Type | Organization
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Legal Business Name | ALAN SIROTE, LCSW
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 8437 124TH ST
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City | KEW GARDENS
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State | NY
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Zip | 11415-3306
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Country | US
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Telephone | 718-846-3635
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Fax | 718-805-3732
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Provider Business Mailing Address
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Address Line | 8437 124TH ST
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City | KEW GARDENS
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State | NY
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Zip | 11415-3306
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Country | US
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Telephone | 718-846-3635
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Fax | 718-805-3732
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MR. ALAN SIROTE
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Credential | LCSW
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Telephone | 718-846-3635
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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 | PR032401-1
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License Number State | NY
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