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General NPI Number Information
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NPI Number | 1487834685
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Entity Type | Individual
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Provider Name | MADGE ELLEN POSTAL LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 2215 BURDETT AVE. SAMARITAN HOSPITAL
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City | TROY
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State | NY
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Zip | 12180
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Country | US
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Telephone | 518-271-1122
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Fax | 518-271-1791
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Provider Business Mailing Address
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Address Line | PO BOX 14890
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City | ALBANY
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State | NY
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Zip | 12212-4890
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Country | US
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Telephone | 518-525-5634
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R030483-1
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License Number State | NY
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