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General NPI Number Information
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NPI Number | 1457629735
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Entity Type | Individual
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Provider Name | JU-TSUN TERESA POMPOSELLO SOCIAL WORK, LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 2995 CURRY RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-2801
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Country | US
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Telephone | 518-836-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 2295 CURRY ROAD EXT.
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City | SCHENECTADY
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State | NY
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Zip | 12303
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Country | US
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Telephone | 518-836-2252
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 086828-1
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License Number State | NY
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