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General NPI Number Information
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NPI Number | 1275861684
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Entity Type | Individual
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Provider Name | CAMEEN DAVIS-ROUSE LMSW/LPN
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Gender | Female
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 2094 ALBANY POST RD
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City | MONTROSE
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State | NY
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Zip | 10548-1454
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Country | US
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Telephone | 914-737-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 4 JEFFERSON PLZ
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4035
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Country | US
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Telephone | 845-473-5900
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Fax | 845-473-6692
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 270570-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 100778
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License Number State | NY
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