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General NPI Number Information
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NPI Number | 1700937448
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Entity Type | Organization
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Legal Business Name | SAGE HILL COUNSELING PSYCHOTHERAPY SOCIAL WORK LCSW PC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 823 W JERICHO TPKE STE 1C
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City | SMITHTOWN
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State | NY
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Zip | 11787-3214
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Country | US
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Telephone | 516-238-3377
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Fax | 631-543-0654
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Provider Business Mailing Address
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Address Line | 10120 LANGLEY FARM LN
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City | LOCUST GROVE
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State | VA
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Zip | 22508-9622
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Country | US
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Telephone | 516-238-3377
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBBIE C TOSCANO
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Credential | L.C.S.W.
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Telephone | 516-238-3377
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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 | R039383-1
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License Number State | NY
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