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General NPI Number Information
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NPI Number | 1083154322
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Entity Type | Individual
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Provider Name | ANDREEA LOREDANA DUMITRESCU MHC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 17810 WEXFORD TER APT 1F
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City | JAMAICA
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State | NY
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Zip | 11432-3003
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Country | US
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Telephone | 718-658-1123
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Fax | 718-658-7091
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Provider Business Mailing Address
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Address Line | 4717 39TH ST APT 3C
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City | SUNNYSIDE
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State | NY
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Zip | 11104-4451
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Country | US
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Telephone | 917-345-5089
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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 | P05300
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License Number State | NY
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