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General NPI Number Information
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NPI Number | 1306061007
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Entity Type | Individual
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Provider Name | VIVIANA ESTELA RUBINSTEIN LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ST. JOHN'S EPISCOPAL HOSPITAL, CMHC 521 BEACH 20TH STREET
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691
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Country | US
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Telephone | 718-869-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 806 COURT NORTH DR
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City | MELVILLE
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State | NY
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Zip | 11747-8107
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Country | US
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Telephone | 631-270-4711
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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 | 002986
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License Number State | NY
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