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General NPI Number Information
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NPI Number | 1720540776
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING OF SARATOGA, PC
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 15 MAPLE DELL STE 3
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2953
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Country | US
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Telephone | 518-313-0004
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Fax | 518-581-8783
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Provider Business Mailing Address
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Address Line | 222 EAST AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-3619
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Country | US
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Telephone | 518-313-0004
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR/PROVIDER
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Name | SARAH ETKIN-SEFCOL
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Credential | LCSW-R
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Telephone | 518-313-0004
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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 |
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License Number State |
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