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General NPI Number Information
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NPI Number | 1326119793
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Entity Type | Individual
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Provider Name | DIANE R CAPEZZA L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29 BARSTOW RD SUITE 205
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City | GREAT NECK
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State | NY
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Zip | 11021-2209
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Country | US
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Telephone | 718-279-7198
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 MARATHON PKWY 2ND FLOOR
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City | DOUGLASTON
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State | NY
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Zip | 11362-2041
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Country | US
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Telephone | 718-279-7198
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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 | 071759
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License Number State | NY
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