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General NPI Number Information
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NPI Number | 1225181563
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Entity Type | Individual
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Provider Name | MISS GISELLE E BERRIOS
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 260 E 188TH ST 260 EAST 188TH STREET
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City | BRONX
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State | NY
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Zip | 10458-5302
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Country | US
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Telephone | 718-960-0260
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Fax | 718-933-2502
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Provider Business Mailing Address
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Address Line | 445 BEACH AVE
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City | BRONX
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State | NY
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Zip | 10473-3609
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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 | 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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