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General NPI Number Information
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NPI Number | 1679057616
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Entity Type | Individual
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Provider Name | MICHELE LYNN INSALACO LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2018
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Last Update Date | 09/15/2018
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Provider Practice Location Address
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Address Line | 1606 OLD ORCHARD ST
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City | WEST HARRISON
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State | NY
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Zip | 10604-1049
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Country | US
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Telephone | 914-332-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 599 BEDFORD RD
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City | TARRYTOWN
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State | NY
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Zip | 10591-1215
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Country | US
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Telephone | 914-332-4250
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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 | 085896-1
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License Number State | NY
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