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General NPI Number Information
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NPI Number | 1356601777
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Entity Type | Individual
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Provider Name | TERESA MARY PASCARELLA LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 03/31/2019
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Provider Practice Location Address
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Address Line | 248 MAIN ST STE 201
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City | ONEIDA
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State | NY
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Zip | 13421-2106
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Country | US
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Telephone | 315-491-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 248 MAIN ST STE 201
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City | ONEIDA
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State | NY
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Zip | 13421-2106
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Country | US
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Telephone | 315-491-2030
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | R074306-1
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License Number State | NY
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