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General NPI Number Information
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NPI Number | 1477853240
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Entity Type | Individual
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Provider Name | CARMEN MUNSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 701 LENOX AVE
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City | ONEIDA
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State | NY
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Zip | 13421-1500
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Country | US
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Telephone | 315-363-9281
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Fax |
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Provider Business Mailing Address
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Address Line | 111 BLANCHARD HTS
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City | GROTON
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State | NY
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Zip | 13073-1220
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Country | US
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Telephone | 607-898-4126
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 058103
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License Number State | NY
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