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General NPI Number Information
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NPI Number | 1538437371
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Entity Type | Organization
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Legal Business Name | PRACTICAL GUIDANCE LMSW P.C.
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 16 STRATFORD RD
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2827
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Country | US
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Telephone | 914-686-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 16 STRATFORD RD
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2827
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Country | US
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Telephone | 914-686-5767
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MERCEDES ALMANZAR
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Credential | LMSW
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Telephone | 917-324-5219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 052851-1
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License Number State | NY
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