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General NPI Number Information
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NPI Number | 1568617595
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Entity Type | Individual
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Provider Name | NIQUANE S SMITH M.S.W
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 502 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-2414
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Country | US
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Telephone | 518-831-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 325 HAMILTON ST APARTMENT 213
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City | ALBANY
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State | NY
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Zip | 12210-1741
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Country | US
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Telephone | 646-298-0297
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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 |
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License Number State |
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