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General NPI Number Information
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NPI Number | 1518081553
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Entity Type | Individual
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Provider Name | CAROLE DAPONTE
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 11 RAYMOND AVE STE 36
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2330
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Country | US
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Telephone | 845-416-5126
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Fax | 845-462-6034
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Provider Business Mailing Address
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Address Line | 21 TWIN HILLS RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-5129
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Country | US
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Telephone | 845-462-6034
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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 | R029329-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 003678
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License Number State | CT
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