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General NPI Number Information
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NPI Number | 1144895368
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Entity Type | Organization
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Legal Business Name | SUNY UPSTATE MEDICAL UNIVERSITY
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 713 HARRISON ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2305
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Country | US
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Telephone | 315-247-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 713 HARRISON ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2305
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Country | US
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Telephone | 315-247-4221
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC SOCIAL WORKER
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Name | MS. ALICIA MARIE FRANCESCHI
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Credential | LMSW
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Telephone | 315-247-4221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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