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General NPI Number Information
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NPI Number | 1861014243
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Entity Type | Individual
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Provider Name | CATHLEEN MCNAMARA CALLAHAN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 225 BROADHOLLOW RD STE 402
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City | MELVILLE
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State | NY
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Zip | 11747-4899
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Country | US
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Telephone | 631-385-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 215 W NECK RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-2457
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Country | US
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Telephone |
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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 | 079025
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License Number State | NY
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