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General NPI Number Information
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NPI Number | 1104175983
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Entity Type | Individual
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Provider Name | MS. CAROLYN CREARY
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 18 MILLER RD
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City | MAHOPAC
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State | NY
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Zip | 10541-2220
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Country | US
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Telephone | 845-628-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BRIARCLIFF DR S UNIT 10
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City | OSSINING
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State | NY
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Zip | 10562-2345
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Country | US
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Telephone | 914-325-2835
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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 | 087694
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License Number State | NY
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