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General NPI Number Information
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NPI Number | 1669456653
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Entity Type | Individual
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Provider Name | KRISTEN TUTTLE LCSWR
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Gender | Female
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1 BUSHWICK RD STE C
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-3839
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Country | US
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Telephone | 914-475-3041
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Fax |
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Provider Business Mailing Address
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Address Line | 42 GRETNA RD
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City | PLEASANT VALLEY
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State | NY
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Zip | 12569-6948
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Country | US
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Telephone | 914-475-3041
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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 | 076859
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License Number State | NY
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