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General NPI Number Information
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NPI Number | 1316298292
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Entity Type | Individual
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Provider Name | VANESSA MICHELLE HAUGHTON
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 84 MATTEAWAN RD
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City | BEACON
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State | NY
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Zip | 12508-1500
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Country | US
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Telephone | 845-838-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 6339 MILL ST
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City | RHINEBECK
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State | NY
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Zip | 12572-1427
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Country | US
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Telephone | 845-871-1000
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Fax | 845-516-7800
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 090000
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License Number State | NY
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