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General NPI Number Information
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NPI Number | 1689584609
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Entity Type | Individual
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Provider Name | AARON BENJAMIN LALLY LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 33 W 60TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10023-7905
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Country | US
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Telephone | 718-520-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 58 KNIGHTS BRG APT F
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City | GUILDERLAND
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State | NY
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Zip | 12084-9442
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Country | US
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Telephone | 518-258-9681
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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 | 111203
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License Number State | NY
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