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General NPI Number Information
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NPI Number | 1659700888
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Entity Type | Individual
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Provider Name | SHARON A CYRUS-SAVARY LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1442 GRAND AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-1302
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Country | US
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Telephone | 516-633-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 347-452-8539
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005904
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P83677
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CASAC-26499 TRAINEE
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License Number State | NY
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