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General NPI Number Information
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NPI Number | 1114296829
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Entity Type | Individual
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Provider Name | MRS. MICHELLE ANTHONY
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Gender | Female
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Dates
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Enumeration Date | 12/26/2011
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Last Update Date | 12/26/2011
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Provider Practice Location Address
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Address Line | 94 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3634
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Country | US
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Telephone | 516-408-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 LENOX AVE
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City | EAST MEADOW
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State | NY
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Zip | 11554-5000
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Country | US
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Telephone |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1087242
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License Number State | NY
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