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General NPI Number Information
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NPI Number | 1427129048
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE DUDDY-NAVARETTA LCSWR
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 538 ROUTE 25A SUITE 5
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City | ROCKY POINT
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State | NY
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Zip | 11778
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Country | US
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Telephone | 631-929-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 41 OLEETA RD. BILLING ONLY
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City | MOUNT SINAI
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State | NY
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Zip | 11766
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Country | US
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Telephone | 631-929-0121
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Fax | 631-361-3706
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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 | 0502021
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R050202-1
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License Number State | NY
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