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General NPI Number Information
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NPI Number | 1316223175
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Entity Type | Individual
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Provider Name | KRISTIN JILL ESPOSITA-UBLACKER
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4 BEVERLY DR
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City | WEST SAND LAKE
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State | NY
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Zip | 12196-2823
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Country | US
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Telephone | 518-428-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BEVERLY DR
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City | WEST SAND LAKE
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State | NY
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Zip | 12196-2823
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Country | US
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Telephone | 518-428-6630
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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 | 071449-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28396
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000124851
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License Number State | MA
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