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General NPI Number Information
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NPI Number | 1205951407
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Entity Type | Individual
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Provider Name | CATHERINE JEANNE FARRELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 45 WEBSTER COMMONS BLVD SUITE 200
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City | WEBSTER
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State | NY
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Zip | 14580-3813
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Country | US
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Telephone | 585-872-2970
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Fax | 585-225-0188
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Provider Business Mailing Address
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Address Line | 142 GOETHALS DR
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City | ROCHESTER
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State | NY
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Zip | 14616-1928
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Country | US
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Telephone | 585-225-0059
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Fax | 585-225-0188
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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 | R050028-1
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License Number State | NY
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