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General NPI Number Information
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NPI Number | 1801995709
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Entity Type | Individual
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Provider Name | JOSEPH PATYJEWICZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 206 MARGARET ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1614
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Country | US
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Telephone | 518-566-6838
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Fax | 518-566-6846
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Provider Business Mailing Address
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Address Line | 5 MASON DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1318
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Country | US
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Telephone | 518-562-8982
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Fax | 518-562-8982
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 025133
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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 | 025133
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License Number State | NY
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