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General NPI Number Information
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NPI Number | 1720552326
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Entity Type | Individual
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Provider Name | MARJETA KANE
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 22 S 40TH ST STE 201B
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5827
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Country | US
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Telephone | 855-675-4010
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Fax | 617-807-0958
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Provider Business Mailing Address
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Address Line | 3043 STATE ROUTE 4
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City | HUDSON FALLS
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State | NY
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Zip | 12839-9632
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Country | US
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Telephone | 518-747-2284
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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 | 093282-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024480
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License Number State | PA
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