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General NPI Number Information
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NPI Number | 1457653735
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Entity Type | Individual
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Provider Name | ANGELA PLUGUES LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 7410 35TH AVE #107W
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-8197
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Country | US
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Telephone | 718-672-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 419 W 17TH ST #19B
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City | NEW YORK
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State | NY
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Zip | 10011-4809
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Country | US
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Telephone | 917-270-3547
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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 | 078627-1
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License Number State | NY
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