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General NPI Number Information
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NPI Number | 1346429297
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Entity Type | Individual
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Provider Name | DOREEN D CORRADO LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 30 STATE ST SUITE 202
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City | OSSINING
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State | NY
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Zip | 10562-4608
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Country | US
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Telephone | 914-923-7500
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Fax | 914-432-5253
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Provider Business Mailing Address
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Address Line | 12 STILL CT
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City | OSSINING
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State | NY
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Zip | 10562-5916
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Country | US
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Telephone | 914-923-7500
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Fax | 914-432-5253
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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 | R043035
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License Number State | NY
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