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General NPI Number Information
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NPI Number | 1154656403
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Entity Type | Individual
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Provider Name | MAURA K DONNELLY LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 610 VALLEY HEALTH PLZ
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City | PARAMUS
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State | NJ
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Zip | 07652-3607
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Country | US
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Telephone | 551-252-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 3 E EVERGREEN RD UNIT 101 #1107
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City | NEW CITY
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State | NY
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Zip | 10956-5146
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Country | US
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Telephone | 845-533-2752
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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 |
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License Number State |
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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 | 007592
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00791200
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License Number State | NJ
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