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General NPI Number Information
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NPI Number | 1518903079
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Entity Type | Individual
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Provider Name | DIANA TUMMINIA LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1178 BROADWAY 3RD FLOOR #1362
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 646-809-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 1178 BROADWAY 3RD FLOOR #1362
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 646-809-2104
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14661
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 167475
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License Number State | NY
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