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General NPI Number Information
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NPI Number | 1023392768
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Entity Type | Individual
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Provider Name | SHARON DIANE BAGG BATTISTI LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 11 ACADEMY ST
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City | WINDSOR
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State | NY
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Zip | 13865-4037
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Country | US
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Telephone | 607-760-7611
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Fax | 607-533-2504
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Provider Business Mailing Address
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Address Line | 11 ACADEMY ST
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City | WINDSOR
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State | NY
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Zip | 13865-4037
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Country | US
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Telephone | 607-760-7611
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Fax | 607-533-2504
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 06798
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License Number State | NY
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