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General NPI Number Information
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NPI Number | 1417146820
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Entity Type | Individual
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Provider Name | PURIM H. KING LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 27 STRAWBERRY HILL AVE SUITE 202
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City | STAMFORD
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State | CT
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Zip | 06902-2691
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Country | US
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Telephone | 914-417-1924
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Fax | 203-549-0271
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Provider Business Mailing Address
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Address Line | 17 FURNACE BROOK DR
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-6503
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Country | US
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Telephone | 914-417-1924
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Fax | 203-549-0271
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 19142
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 079987-1
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License Number State | NY
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