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General NPI Number Information
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NPI Number | 1396217709
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Entity Type | Organization
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Legal Business Name | DAVID SHIPPER MENTAL HEALTH COUNSELOR PC
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Dates
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Enumeration Date | 12/23/2018
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Last Update Date | 12/23/2018
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Provider Practice Location Address
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Address Line | 719 W NYACK RD STE 44
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City | WEST NYACK
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State | NY
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Zip | 10994-2241
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Country | US
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Telephone | 914-907-8449
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Fax |
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Provider Business Mailing Address
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Address Line | 36 CALVERT DR
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City | MONSEY
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State | NY
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Zip | 10952-2125
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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 | OWNER
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Name | MR. DAVID SHIPPER
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Credential | LMHC
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Telephone | 914-907-8449
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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 |
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License Number State |
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