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General NPI Number Information
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NPI Number | 1588791388
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Entity Type | Individual
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Provider Name | JANELLE M SMITH LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 179 RIVER ST
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City | ONEONTA
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State | NY
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Zip | 13820-2239
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Country | US
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Telephone | 607-432-8477
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Fax | 607-432-3150
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Provider Business Mailing Address
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Address Line | 346 GRAND AVE
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City | JOHNSON CITY
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State | NY
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Zip | 13790-2558
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Country | US
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Telephone | 607-432-8477
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Fax | 607-432-3150
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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 | 067946-1
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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 | R075608
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License Number State | NY
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