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General NPI Number Information
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NPI Number | 1669982989
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Entity Type | Organization
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Legal Business Name | JAMES ALLISON, LCSW
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 721 BROADWAY STE 204
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City | KINGSTON
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State | NY
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Zip | 12401-3449
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Country | US
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Telephone | 845-394-1156
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Fax | 866-619-5710
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Provider Business Mailing Address
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Address Line | 721 BROADWAY STE 204
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City | KINGSTON
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State | NY
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Zip | 12401-3449
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Country | US
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Telephone | 845-394-1156
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Fax | 866-619-5710
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Authorized Official
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Title or Position | PROVIDER
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Name | JAMES ALLISON
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Credential | LCSW
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Telephone | 845-594-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 082296
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License Number State | NY
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