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General NPI Number Information
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NPI Number | 1174691984
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Entity Type | Individual
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Provider Name | LUCILLE ANNE ALLEGRETTI-FREEMAN LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 274 DELAWARE AVE STE 200
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City | DELMAR
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State | NY
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Zip | 12054-1436
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Country | US
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Telephone | 518-427-5004
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Fax | 518-432-5750
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Provider Business Mailing Address
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Address Line | 4 ROBIN DR
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City | VOORHEESVILLE
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State | NY
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Zip | 12186-5212
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Country | US
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Telephone | 518-765-2307
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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 | 070905
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License Number State | NY
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