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General NPI Number Information
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NPI Number | 1033685813
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Entity Type | Individual
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Provider Name | JOSEPH FRANCIS SAN ANTONIO LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 165 MAIN ST
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City | NORTH CREEK
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State | NY
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Zip | 12853-2304
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Country | US
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Telephone | 518-251-2921
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Fax | 518-251-2087
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Provider Business Mailing Address
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Address Line | 165 MAIN ST
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City | NORTH CREEK
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State | NY
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Zip | 12853-2304
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Country | US
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Telephone | 518-251-2921
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Fax | 518-251-2087
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 094324
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License Number State | NY
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