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General NPI Number Information
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NPI Number | 1508730227
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Entity Type | Organization
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Legal Business Name | DUNE PATH COUNSELING LCSW PLLC
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 249 MAIN ST STE 7
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City | EAST SETAUKET
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State | NY
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Zip | 11733-2919
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Country | US
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Telephone | 631-364-2337
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Fax |
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Provider Business Mailing Address
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Address Line | 249 MAIN ST STE 7
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City | EAST SETAUKET
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State | NY
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Zip | 11733-2919
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Country | US
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Telephone | 631-364-2337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDRA MARIE RULLI
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Credential | LCSW
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Telephone | 516-589-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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