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General NPI Number Information
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NPI Number | 1851046916
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Entity Type | Individual
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Provider Name | SAVANNAH D BALCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 628 MARY ST
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City | UTICA
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State | NY
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Zip | 13501-2419
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Country | US
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Telephone | 315-272-2700
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Fax | 315-732-2229
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Provider Business Mailing Address
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Address Line | 199 W DOMINICK ST STE 2
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City | ROME
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State | NY
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Zip | 13440-5855
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Country | US
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Telephone | 315-272-2730
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Fax | 315-337-0675
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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 | 101367
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License Number State | NY
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