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NPI 1194604272

NPI 1194604272 : CHRISTINA ALEXANDRA COURY LMSW : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1194604272
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA ALEXANDRA COURY LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2025
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    2480 BROWNCROFT BLVD STE 122246 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14625-1435
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    Country              |    US
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    Telephone            |    585-383-8338
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    Fax                  |    585-201-5491
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Provider Business Mailing Address
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    Address Line         |    63 CROSBY LN 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14612-3326
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    Country              |    US
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    Telephone            |    315-525-6716
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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       |    108902
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    License Number State |    NY
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