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General NPI Number Information
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NPI Number | 1891828679
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Entity Type | Individual
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Provider Name | ANNE CARROLL BENDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 23 BALDWIN ST
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City | MASSENA
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State | NY
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Zip | 13662-1035
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Country | US
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Telephone | 315-764-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 454 WILLARD RD
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City | MASSENA
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State | NY
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Zip | 13662-3481
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Country | US
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Telephone | 315-705-7679
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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 | R039538-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R039538-1
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License Number State | NY
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