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General NPI Number Information
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NPI Number | 1114450996
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Entity Type | Individual
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Provider Name | ANN D GREENBERG LIC. ACC. CMHC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 408 ELM ST 405 TAUGHANOOK BLVD.
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City | ITHACA
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State | NY
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Zip | 14850
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Country | US
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Telephone | 607-272-7792
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Fax | 607-272-7792
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Provider Business Mailing Address
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Address Line | 408 ELM ST
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City | ITHACA
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State | NY
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Zip | 14850
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Country | US
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Telephone | 607-272-7792
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Fax | 607-272-7792
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000759
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License Number State | NY
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