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General NPI Number Information
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NPI Number | 1053561647
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Entity Type | Individual
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Provider Name | JAMES GARBER LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 7908 ALLEGHANY RD.
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City | CORFU
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State | NY
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Zip | 14036
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Country | US
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Telephone | 585-762-6000
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Fax | 585-762-6001
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Provider Business Mailing Address
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Address Line | 430 EAST MAIN ST.
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City | BATAVIA
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State | NY
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Zip | 14020
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Country | US
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Telephone | 585-343-1124
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Fax | 585-343-1197
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 080190-1
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License Number State | NY
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