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General NPI Number Information
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NPI Number | 1508926726
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Entity Type | Individual
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Provider Name | DEBRA ANN KUPPERSMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 W 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-3603
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Country | US
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Telephone | 914-693-8631
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Fax | 914-693-8631
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Provider Business Mailing Address
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Address Line | 21 MAPLEWOOD AVE
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City | DOBBS FERRY
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State | NY
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Zip | 10522-3013
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Country | US
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Telephone | 914-693-8631
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Fax | 914-693-8632
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PRO38654-1
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License Number State | NY
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