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General NPI Number Information
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NPI Number | 1245375153
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Entity Type | Organization
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Legal Business Name | FLOURNOY CONSULTATION
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 87-86 188TH STREET 1ST LEVEL
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City | HOLLIS
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State | NY
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Zip | 11423
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Country | US
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Telephone | 917-863-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 OSSIPEE ROAD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552
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Country | US
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Telephone | 516-536-1835
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHERRI MICHELLE FLOURNOY
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Credential | LCSW R
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Telephone | 917-863-6910
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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 | R0532581
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License Number State | NY
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