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General NPI Number Information
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NPI Number | 1083767354
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Entity Type | Individual
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Provider Name | LORETTA PARRISH LCSW-R, CASAC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 241 NORTH RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1154
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Country | US
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Telephone | 845-483-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CHELSEA RIDGE DR APT D
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-5632
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Country | US
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Telephone | 845-803-1441
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R048523-1
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License Number State | NY
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