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General NPI Number Information
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NPI Number | 1306205661
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Entity Type | Organization
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Legal Business Name | PATRICIA A. MUROSKI-SAMUL, LCSW, P.C.
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 14153 SHORTCUT RD
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City | STERLING
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State | NY
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Zip | 13156-3159
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Country | US
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Telephone | 315-947-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 14153 SHORTCUT RD
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City | STERLING
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State | NY
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Zip | 13156-3159
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Country | US
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Telephone | 315-947-5446
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | PATRICIA A MUROSKI-SAMUL
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Credential |
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Telephone | 315-947-5446
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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 | R040981
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License Number State | NY
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