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General NPI Number Information
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NPI Number | 1356207591
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Entity Type | Individual
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Provider Name | CELINE NULLET
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Gender | Female
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 211 BROADWAY STE 207
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City | LYNBROOK
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State | NY
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Zip | 11563-3290
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Country | US
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Telephone | 516-825-6567
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Fax |
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Provider Business Mailing Address
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Address Line | 115 SOUNDVIEW AVE
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-1223
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P134278
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License Number State | NY
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