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General NPI Number Information
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NPI Number | 1659953750
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Entity Type | Individual
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Provider Name | MAUREEN H WOPPERER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | PO BOX 201
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City | SKANEATELES
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State | NY
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Zip | 13152-0201
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Country | US
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Telephone | 315-840-0885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201
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City | SKANEATELES
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State | NY
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Zip | 13152-1383
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Country | US
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Telephone | 315-840-0885
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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 | 100225
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License Number State | NY
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