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General NPI Number Information
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NPI Number | 1235529199
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Entity Type | Individual
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Provider Name | DAVID BIRMINGHAM LMHC
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Gender | Male
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 466 E MAIN ST UPPR LEVEL
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2534
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Country | US
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Telephone | 845-843-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HORTON AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3217
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Country | US
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Telephone | 845-800-7262
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Fax | 845-421-6804
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 306933
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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 | 016884-01
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License Number State | NY
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