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General NPI Number Information
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NPI Number | 1073299855
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Entity Type | Individual
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Provider Name | PAMELA RENEE BIERRIA LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 148 MASON ST.
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City | HEMPSTEAD
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State | NY
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Zip | 11550
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Country | US
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Telephone | 516-668-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 132 W. MERRICK RD. #370
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City | FREEPORT
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State | NY
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Zip | 11520
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Country | US
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Telephone | 516-668-1312
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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 | 116119-01
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License Number State | NY
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