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General NPI Number Information
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NPI Number | 1477847739
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Entity Type | Individual
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Provider Name | ROMONA MUKHERJEE LMHC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2011
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 227 E 24TH ST
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City | NEW YORK
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State | NY
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Zip | 10010-3801
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Country | US
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Telephone | 917-300-8359
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Fax |
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Provider Business Mailing Address
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Address Line | 1087 55TH ST
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City | OAKLAND
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State | CA
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Zip | 94608-2747
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Country | US
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Telephone | 917-300-8358
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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 | 004703
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License Number State | NY
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