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General NPI Number Information
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NPI Number | 1649128679
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH FORNARA MS COUNSELING
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Gender | Male
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 15 BERKSHIRE RD
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City | SANDY HOOK
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State | CT
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Zip | 06482-1361
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Country | US
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Telephone | 203-270-4335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | PURDYS
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State | NY
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Zip | 10578-0172
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Country | US
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Telephone | 914-330-5181
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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 | CT
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