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General NPI Number Information
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NPI Number | 1982884573
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Entity Type | Individual
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Provider Name | NORINE GLEDHILL L.C.S.W.-R
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Gender | Female
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 565 ROUTE 25A STE LR2
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City | MILLER PLACE
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State | NY
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Zip | 11764-2665
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Country | US
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Telephone | 631-601-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 17 SALEM LN
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City | SELDEN
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State | NY
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Zip | 11784-1210
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Country | US
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Telephone | 631-601-3712
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 073621
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License Number State | NY
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