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General NPI Number Information
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NPI Number | 1215745609
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Entity Type | Individual
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Provider Name | BARBARA J ENGLEHART
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 5800 HERITAGE LANDING DR STE E
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9378
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Country | US
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Telephone | 315-396-8400
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Fax | 315-810-5183
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Provider Business Mailing Address
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Address Line | 4 EDGEWOOD PKWY
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-2564
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Country | US
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Telephone | 315-329-8009
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Fax | 315-810-5183
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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 | 071455-01
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License Number State | NY
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