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General NPI Number Information
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NPI Number | 1659505741
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Entity Type | Individual
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Provider Name | JENNIFER SCAVERA BATTAGLINO LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 178 MYRTLE BLVD STE 107
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City | LARCHMONT
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State | NY
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Zip | 10538-2035
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Country | US
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Telephone | 914-315-1823
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Fax | 914-873-4851
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Provider Business Mailing Address
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Address Line | 178 MYRTLE BLVD STE 107
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City | LARCHMONT
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State | NY
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Zip | 10538-2035
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Country | US
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Telephone | 914-315-1823
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Fax | 914-873-4851
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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 | 062635
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License Number State | NY
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