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General NPI Number Information
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NPI Number | 1720570765
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Entity Type | Individual
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Provider Name | ALICE ANNE ROGERS LCAT, LCSW, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1700 RIVERFRONT CTR
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City | AMSTERDAM
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State | NY
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Zip | 12010-4620
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Country | US
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Telephone | 518-843-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 RIVERFRONT CTR
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City | AMSTERDAM
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State | NY
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Zip | 12010-4620
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Country | US
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Telephone | 518-281-8367
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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 | 113407-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 10987
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 098769
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License Number State | NY
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