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General NPI Number Information
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NPI Number | 1275699829
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Entity Type | Individual
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Provider Name | JOAN MARIE LIGGETTO LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 E MAIN ST STE 6
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City | BATAVIA
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State | NY
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Zip | 14020-2200
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Country | US
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Telephone | 585-344-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 165 SUMMIT ST
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City | BATAVIA
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State | NY
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Zip | 14020-2220
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Country | US
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Telephone | 585-345-1172
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 061586-1
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License Number State | NY
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