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General NPI Number Information
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NPI Number | 1285252494
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Entity Type | Individual
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Provider Name | ANNA SCOLARO PSYD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 312 E 85TH ST APT 6A
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City | NEW YORK
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State | NY
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Zip | 10028-4569
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Country | US
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Telephone | 646-484-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 3457 MAIN ST FL 2
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City | STONE RIDGE
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State | NY
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Zip | 12484-5612
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Country | US
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Telephone | 908-216-6845
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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 | 087654
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026169
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License Number State | NY
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