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General NPI Number Information
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NPI Number | 1952675332
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Entity Type | Individual
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Provider Name | PATRICIA COLUCCI-CORITT MSW, LCSW, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 333 WESTCHESTER AVE STE E106
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City | WHITE PLAINS
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State | NY
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Zip | 10604-2912
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Country | US
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Telephone | 203-322-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 333 WESTCHESTER AVE STE E106
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City | WHITE PLAINS
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State | NY
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Zip | 10604-2912
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Country | US
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Telephone | 203-322-4947
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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 | 032809-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R036490
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License Number State | NY
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