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NPI 1134608516

NPI 1134608516 : ONEIDA COUNSELING SERVICES LCSW PC : ONEIDA, NY

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General NPI Number Information
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    NPI Number           |    1134608516
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    Entity Type          |    Organization 
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    Legal Business Name  |    ONEIDA COUNSELING SERVICES LCSW PC 
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Dates
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    Enumeration Date     |    08/07/2018
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    Last Update Date     |    08/07/2018
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Provider Practice Location Address
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    Address Line         |    248 MAIN ST STE 201 
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    City                 |    ONEIDA
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    State                |    NY
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    Zip                  |    13421-2106
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    Country              |    US
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    Telephone            |    315-491-2030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    248 MAIN ST STE 201 
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    City                 |    ONEIDA
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    State                |    NY
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    Zip                  |    13421-2106
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    Country              |    US
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    Telephone            |    315-491-2030
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TERESA  PASCARELLA 
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    Credential           |    LCSWR
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    Telephone            |    315-491-2030
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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       |    
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    License Number State |    
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