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General NPI Number Information
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NPI Number | 1053982108
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Entity Type | Organization
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Legal Business Name | DAVID A VECCHIO, LMSW COUNSELING SERVICES PC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 339 MAPLE ST APT 3
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City | OSWEGO
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State | NY
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Zip | 13126-3464
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Country | US
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Telephone | 315-382-6532
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Fax |
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Provider Business Mailing Address
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Address Line | 339 MAPLE ST APT 3
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City | OSWEGO
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State | NY
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Zip | 13126-3464
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Country | US
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Telephone | 315-382-6532
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | DAVID A VECCHIO
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Credential | LMSW
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Telephone | 315-382-6532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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