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General NPI Number Information
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NPI Number | 1609398569
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Entity Type | Organization
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Legal Business Name | ALANNA A. QUINN
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 287 SPRINGS FIREPLACE RD
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City | EAST HAMPTON
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State | NY
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Zip | 11937-4823
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Country | US
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Telephone | 631-329-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 287 SPRINGS FIREPLACE RD
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City | EAST HAMPTON
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State | NY
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Zip | 11937-4823
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Country | US
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Telephone | 631-329-0373
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Fax |
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Authorized Official
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Title or Position | CLINIC SUPERVISOR
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Name | MS. ALANNA ANNE QUINN
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Credential | LMSW
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Telephone | 631-329-0373
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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 |
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License Number State | NY
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