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General NPI Number Information
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NPI Number | 1093022790
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Entity Type | Individual
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Provider Name | BARBARA KUPFERMAN OTR, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 1363 VETERANS HWY STE 8
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3046
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Country | US
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Telephone | 631-336-3876
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Fax |
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Provider Business Mailing Address
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Address Line | 87 NORTHGATE CIR
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City | MELVILLE
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State | NY
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Zip | 11747-2822
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Country | US
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Telephone | 631-335-0201
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 262-1
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License Number State | NY
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