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General NPI Number Information
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NPI Number | 1346742269
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Entity Type | Organization
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Legal Business Name | AMY ORR LMSW COUNSELING SERVICES
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 317 W 1ST ST STE 112
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City | OSWEGO
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State | NY
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Zip | 13126-3678
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Country | US
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Telephone | 315-216-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 979 COUNTY ROUTE 25
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City | OSWEGO
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State | NY
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Zip | 13126-5723
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Country | US
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Telephone | 315-529-1533
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. AMY ORR
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Credential | LMSW
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Telephone | 315-529-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 069171
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License Number State | NY
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