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General NPI Number Information
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NPI Number | 1699273284
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Entity Type | Individual
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Provider Name | ELIZABETH E PISANI-WOODRUFF LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 20-24 S WASHINGTON ST
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City | BINGHAMTON
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State | NY
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Zip | 13903-1710
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Country | US
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Telephone | 607-251-2300
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Fax | 607-251-2314
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Provider Business Mailing Address
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Address Line | 20-24 S WASHINGTON ST
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City | BINGHAMTON
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State | NY
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Zip | 13903-1710
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Country | US
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Telephone | 607-251-2300
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Fax | 607-251-2314
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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 | 101776-1
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License Number State | NY
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