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General NPI Number Information
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NPI Number | 1508209545
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Entity Type | Individual
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Provider Name | VINCENT PATRICK ANDROSIGLIO LCSW,
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Gender | Male
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 3 SHERIDAN SQ 9L
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City | NEW YORK
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State | NY
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Zip | 10014-6828
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Country | US
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Telephone | 646-745-6731
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Fax |
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Provider Business Mailing Address
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Address Line | 38 PATTERSON CT
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4116
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Country | US
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Telephone | 646-745-6731
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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 | PR017550-1
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License Number State | NY
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