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NPI 1548665656

NPI 1548665656 : JOYCE LITTLE LMSW : SHIRLEY, NY

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General NPI Number Information
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    NPI Number           |    1548665656
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    Entity Type          |    Individual 
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    Provider Name        |    JOYCE LITTLE LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/31/2014
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    Last Update Date     |    10/31/2014
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Provider Practice Location Address
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    Address Line         |    550 MONTAUK HWY HUDSON RIVER HEALTHCARE, INC.
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    City                 |    SHIRLEY
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    State                |    NY
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    Zip                  |    11967-2114
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    Country              |    US
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    Telephone            |    631-490-3040
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    Fax                  |    631-395-6340
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Provider Business Mailing Address
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    Address Line         |    1037 MAIN ST HUDSON RIVER HEALTHCARE, INC.
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    City                 |    PEEKSKILL
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    State                |    NY
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    Zip                  |    10566-2913
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    Country              |    US
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    Telephone            |    914-734-8800
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    Fax                  |    914-734-8786
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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       |    087339
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    License Number State |    NY
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