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General NPI Number Information
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NPI Number | 1912621756
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Entity Type | Organization
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Legal Business Name | DENISE HYNSON, LCSW
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 2300 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-2564
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Country | US
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Telephone | 607-545-1561
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-2564
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Country | US
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Telephone | 607-545-1561
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | LILLIAN STJUSTE
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Credential |
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Telephone | 631-295-6516
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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 |
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License Number State |
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