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General NPI Number Information
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NPI Number | 1881011070
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Entity Type | Individual
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Provider Name | SHARON LYNN SCHROEDER LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 3 BRIDGE STREET
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City | CALLICOON
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State | NY
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Zip | 12723
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Country | US
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Telephone | 845-887-5039
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 468
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City | CALLICOON
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State | NY
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Zip | 12723-0468
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Country | US
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Telephone | 845-887-5039
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R049443-1
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License Number State | NY
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