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General NPI Number Information
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NPI Number | 1942416375
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Entity Type | Individual
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Provider Name | PATRICK WILLIAM WALSH M.S. ED, LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1541 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-1423
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Country | US
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Telephone | 585-244-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 41 HILLTOP DR
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City | PITTSFORD
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State | NY
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Zip | 14534-2245
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Country | US
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Telephone | 585-264-1854
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000185
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License Number State | NY
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