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General NPI Number Information
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NPI Number | 1528404605
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Entity Type | Individual
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Provider Name | GAIL LYNN NEISH LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 239 GOLDEN HILL LN 100
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City | KINGSTON
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State | NY
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Zip | 12401-6441
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Country | US
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Telephone | 845-871-1182
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17
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City | CONNELLY
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State | NY
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Zip | 12417-0017
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Country | US
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Telephone | 845-802-0006
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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 | 0753391
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License Number State | NY
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