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General NPI Number Information
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NPI Number | 1275825408
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Entity Type | Individual
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Provider Name | JOHN LOUIS TUFANIO LCSW-R, BCD, ACHT
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Gender | Male
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 5 MILANO CT
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1212
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Country | US
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Telephone | 914-450-7586
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Fax | 914-734-1868
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Provider Business Mailing Address
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Address Line | 5 MILANO CT
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1212
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Country | US
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Telephone | 914-450-7586
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Fax | 914-734-1868
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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 | R030730-1
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License Number State | NY
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