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General NPI Number Information
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NPI Number | 1528219169
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Entity Type | Individual
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Provider Name | JUDITH GILBERT KAUTTO L.C.S.W. M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 153 E. MAIN STREET SUITE D
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City | MT. KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-241-0444
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Fax | 914-219-5518
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Provider Business Mailing Address
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Address Line | 153 E. MAIN STREET SUITE D
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City | MT. KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-241-0444
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Fax | 914-219-5518
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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 | PRO19292-1
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License Number State | NY
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