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General NPI Number Information
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NPI Number | 1275913675
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Entity Type | Individual
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Provider Name | MARY GIUFFRA RN CS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 8 HAWTHORNE RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3211
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Country | US
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Telephone | 914-793-1487
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Fax |
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Provider Business Mailing Address
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Address Line | 8 HAWTHORNE RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3211
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Country | US
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Telephone | 914-793-1487
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000222-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 1373121-1 (88822)
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License Number State | NY
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