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General NPI Number Information
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NPI Number | 1134423775
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Entity Type | Individual
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Provider Name | EMMA JEAN CATIZONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 30 7TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-6629
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Country | US
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Telephone | 802-272-8401
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Fax |
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Provider Business Mailing Address
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Address Line | 338 MAIN ST SUITE 301
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City | WAKEFIELD
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State | MA
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Zip | 01880-5042
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 216861
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 085835
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License Number State | NY
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