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General NPI Number Information
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NPI Number | 1215272919
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Entity Type | Organization
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Legal Business Name | JANINE DEFRANCO LCSW, PLLC
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 202 HOOKER AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-3329
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Country | US
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Telephone | 845-473-2175
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Fax | 845-463-1061
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Provider Business Mailing Address
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Address Line | 202 HOOKER AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-3329
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Country | US
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Telephone | 845-473-2175
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Fax | 845-463-1061
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. JANINE E DEFRANCO
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Credential | LCSW-R
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Telephone | 845-473-2175
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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 | R0737931
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License Number State | NY
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