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General NPI Number Information
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NPI Number | 1821128463
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Entity Type | Individual
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Provider Name | MAUREEN M. CARUSO L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 480 BROADWAY SUITE 314
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2246
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Country | US
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Telephone | 518-429-3826
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Fax | 518-587-8241
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Provider Business Mailing Address
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Address Line | PO BOX 703 480 BROADWAY, SUITE 314
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-0703
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Country | US
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Telephone | 518-429-3826
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Fax | 518-587-8241
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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 | P065687-1
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License Number State | NY
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