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General NPI Number Information
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NPI Number | 1386206837
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Entity Type | Individual
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Provider Name | NAKITA NATAY SIMONS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 7320 SNELL HILL RD
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City | BATH
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State | NY
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Zip | 14810-7630
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Country | US
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Telephone | 585-694-6733
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Fax |
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Provider Business Mailing Address
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Address Line | 3544 WILLIS RD
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City | HORNELL
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State | NY
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Zip | 14843-9458
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Country | US
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Telephone | 607-346-1358
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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 | 090684
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License Number State | NY
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