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General NPI Number Information
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NPI Number | 1215108410
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Entity Type | Individual
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Provider Name | DANIELLE MARIE PECORA LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 237 MAMARONECK AVE SUITE 400
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1319
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Country | US
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Telephone | 516-398-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 17 LEEWOOD CIR APT 6R
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City | EASTCHESTER
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State | NY
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Zip | 10709-1902
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Country | US
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Telephone | 914-202-8975
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0711471
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License Number State | NY
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