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General NPI Number Information
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NPI Number | 1104569607
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Entity Type | Organization
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Legal Business Name | JANET DUFFY, LICENSED MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 1160 FIFTH AVENUE SUITE 3
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 917-710-8388
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 FIFTH AVENUE, SUITE 3 BOX 112
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 917-710-8388
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANET M DUFFY
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Credential | M.ED, LMHC, LPC
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Telephone | 917-710-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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