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General NPI Number Information
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NPI Number | 1619223674
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Entity Type | Individual
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Provider Name | HEATHER RENEE MCADAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-286-7909
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Fax | 607-286-3307
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Provider Business Mailing Address
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Address Line | 132 DELAWARE ST SUITE 2A
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City | WALTON
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State | NY
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Zip | 13856-1486
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Country | US
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Telephone | 607-865-8255
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Fax | 607-865-7252
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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 | 086292-1
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License Number State | NY
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