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General NPI Number Information
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NPI Number | 1053367466
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Entity Type | Individual
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Provider Name | JOANNA STELLATO-KABAT LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 864 BEECH DR
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City | SCHENECTADY
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State | NY
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Zip | 12309-3027
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Country | US
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Telephone | 518-370-0158
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Fax | 877-296-7673
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Provider Business Mailing Address
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Address Line | PO BOX 2657
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City | GLENVILLE
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State | NY
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Zip | 12325-0657
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Country | US
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Telephone | 518-370-0158
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Fax | 877-296-7673
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R027188-1
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License Number State | NY
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