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General NPI Number Information
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NPI Number | 1780915033
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Entity Type | Individual
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Provider Name | COLLEEN MARIE MCCARTHY CSWR(N.Y. 037636) MS
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Gender | Female
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 52 TAO CT
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City | FT MYERS
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State | FL
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Zip | 33912
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Country | US
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Telephone | 239-333-6452
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Fax | 239-415-8780
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Provider Business Mailing Address
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Address Line | 52 TAO CT
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City | FORT MYERS
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State | FL
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Zip | 33912
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Country | US
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Telephone | 239-333-6452
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Fax | 239-415-8780
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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 | PSW723
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License Number State | FL
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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 | 037636
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License Number State | NY
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