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General NPI Number Information
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NPI Number | 1558401109
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Entity Type | Individual
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Provider Name | MARY F PUTMAN MA,LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 610 FRENCH RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1014
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Country | US
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Telephone | 315-765-0121
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Fax | 315-765-0351
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Provider Business Mailing Address
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Address Line | 6592 COLLEGE HILL RD
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City | CLINTON
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State | NY
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Zip | 13323-4900
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Country | US
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Telephone | 315-829-2540
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Fax | 315-829-2540
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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 | 001649
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License Number State | NY
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