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General NPI Number Information
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NPI Number | 1386740835
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Entity Type | Individual
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Provider Name | JOANNE M. DELLA VALLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 55 ELM ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3549
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Country | US
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Telephone | 518-793-7273
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Fax | 518-798-5004
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Provider Business Mailing Address
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Address Line | PO BOX 31092
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City | HARTFORD
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State | CT
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Zip | 06150-1092
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Country | US
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Telephone | 518-952-8140
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Fax | 518-952-8287
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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 | 052350
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License Number State | NY
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