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General NPI Number Information
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NPI Number | 1538538467
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Entity Type | Individual
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Provider Name | BRIANA GRUSPIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 600 FRANKLIN ST SUITE 204
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City | SCHENECTADY
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State | NY
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Zip | 12305-2107
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Country | US
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Telephone | 518-372-7031
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Fax | 518-372-7064
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Provider Business Mailing Address
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Address Line | 79 GLENRIDGE RD
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City | GLENVILLE
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State | NY
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Zip | 12302-4523
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Country | US
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Telephone | 518-952-8408
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Fax | 518-952-8287
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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 | 092718
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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 | 086201
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License Number State | NY
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