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General NPI Number Information
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NPI Number | 1225496045
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Entity Type | Organization
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Legal Business Name | CHOICES THRU COUNSELING SERVICES LCSW PC
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 145 ROUTE 22 201
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City | PAWLING
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State | NY
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Zip | 12564-3214
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Country | US
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Telephone | 845-372-2868
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-0287
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LINDA BACINO
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Credential | LCSW
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Telephone | 845-214-2705
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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 | 075438
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License Number State | NY
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