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General NPI Number Information
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NPI Number | 1033639257
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Entity Type | Organization
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Legal Business Name | LAUREN A. FURY LCSW
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 834 KENWOOD AVE
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9621
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Country | US
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Telephone | 518-577-9954
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Fax | 518-252-3499
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Provider Business Mailing Address
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Address Line | 71 PINEWOOD AVE FL 2
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City | ALBANY
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State | NY
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Zip | 12208-2718
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Country | US
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Telephone | 518-577-9954
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Fax | 518-252-3499
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Authorized Official
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Title or Position | LCSW/SOLE PROPRIETOR
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Name | LAUREN FURY
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Credential | LCSW
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Telephone | 518-577-9954
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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 | 083347
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License Number State | NY
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