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General NPI Number Information
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NPI Number | 1689140592
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Entity Type | Individual
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Provider Name | DEBBRA BABB LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 722 WEILAND RD STE 258
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City | ROCHESTER
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State | NY
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Zip | 14626-3957
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Country | US
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Telephone | 585-666-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 23 JOLI LN
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City | ROCHESTER
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State | NY
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Zip | 14606-3521
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Country | US
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Telephone | 585-967-5050
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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 | 078799
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License Number State | NY
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