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General NPI Number Information
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NPI Number | 1679153605
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Entity Type | Individual
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Provider Name | KAYLA GAFFNEY
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 620 WASHINGTON AVE
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City | RENSSELAER
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State | NY
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Zip | 12144-1300
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Country | US
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Telephone | 518-252-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 4 WINDING BROOK DR APT 1B
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City | GUILDERLAND
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State | NY
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Zip | 12084-9715
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Country | US
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Telephone | 315-783-1836
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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