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General NPI Number Information
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NPI Number | 1255370862
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Entity Type | Individual
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Provider Name | ELIZABETH DUNN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 806 KARENWALD LN
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City | SCHENECTADY
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State | NY
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Zip | 12309-6414
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Country | US
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Telephone | 518-393-6551
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Fax | 518-377-9222
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Provider Business Mailing Address
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Address Line | PO BOX 2673
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City | GLENVILLE
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State | NY
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Zip | 12325-0673
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Country | US
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Telephone | 518-393-6551
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Fax | 518-377-9222
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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 | R019177-1
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License Number State | NY
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