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General NPI Number Information
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NPI Number | 1770805335
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Entity Type | Individual
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Provider Name | BRIAN D ROLAND
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Gender | Male
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 282 GEORGETOWN CT
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City | ALBANY
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State | NY
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Zip | 12203-5515
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Country | US
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Telephone | 518-364-3771
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Fax |
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Provider Business Mailing Address
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Address Line | 6 VINCENT AVE
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City | ALBANY
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State | NY
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Zip | 12205-2227
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Country | US
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Telephone | 518-289-0031
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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 |
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License Number State |
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