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General NPI Number Information
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NPI Number | 1861005738
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Entity Type | Individual
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Provider Name | KAITLYN DAWN BUDGE MSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 58 ACADEMY RD
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City | ALBANY
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State | NY
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Zip | 12208-3103
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Country | US
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Telephone | 518-292-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 1186 GLENWOOD BLVD
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City | SCHENECTADY
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State | NY
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Zip | 12308-2504
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Country | US
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Telephone | 315-373-1794
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P106531
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 110307
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License Number State | NY
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