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General NPI Number Information
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NPI Number | 1477461747
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Entity Type | Individual
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Provider Name | ADALA MUTHANA TAHER LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1099 JAY ST
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City | ROCHESTER
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State | NY
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Zip | 14611-1153
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Country | US
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Telephone | 585-328-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 101 EDGEBROOK LN
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City | ROCHESTER
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State | NY
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Zip | 14617-4116
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Country | US
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Telephone | 585-362-0690
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 132526-01
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License Number State | NY
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