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General NPI Number Information
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NPI Number | 1144693359
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Entity Type | Organization
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Legal Business Name | CHELENE SIRIANNI PSYCHOTHERAPY
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 445 S JENSEN RD
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City | VESTAL
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State | NY
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Zip | 13850-3018
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Country | US
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Telephone | 607-238-7928
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Fax |
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Provider Business Mailing Address
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Address Line | 445 S JENSEN RD
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City | VESTAL
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State | NY
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Zip | 13850-3018
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Country | US
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Telephone | 607-238-7928
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. CHELENE SIRIANNI
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Credential | MS CAS
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Telephone | 607-238-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0029231
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License Number State | NY
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