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General NPI Number Information
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NPI Number | 1447581491
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Entity Type | Individual
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Provider Name | DONNA JEAN BRENNAN-BARNETT CRC, CASAC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 265 SAW MILL RIVER RD
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City | HAWTHORNE
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State | NY
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Zip | 10532-1509
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Country | US
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Telephone | 914-495-4470
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Fax | 914-328-3166
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Provider Business Mailing Address
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Address Line | 43 BRONX RIVER RD APT. 5M
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City | YONKERS
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State | NY
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Zip | 10704-4461
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Country | US
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Telephone | 914-495-4470
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Fax | 914-328-3166
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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 | 22271
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00084579
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License Number State | IL
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