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General NPI Number Information
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NPI Number | 1053868885
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Entity Type | Individual
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Provider Name | SAMANTHA HUNT LCAT, CASAC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 1392 ALBANY POST RD
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1559
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Country | US
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Telephone | 914-589-7188
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Fax |
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Provider Business Mailing Address
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Address Line | 324 OVERLAND RD
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City | MAHOPAC
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State | NY
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Zip | 10541-1123
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Country | US
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Telephone | 845-234-0185
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Fax |
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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 | 28149
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001814-1
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License Number State | NY
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