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General NPI Number Information
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NPI Number | 1215172176
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Entity Type | Individual
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Provider Name | TARA ANN O'SHAUGHNESSY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 61 SPRING ST.
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City | TARRYTOWN
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State | NY
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Zip | 10591
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Country | US
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Telephone | 914-495-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 61 SPRING STREET
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City | TARRYTOWN
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State | NY
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Zip | 10591-5021
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Country | US
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Telephone | 914-524-9109
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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 | R067386-1
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License Number State | NY
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