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General NPI Number Information
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NPI Number | 1568523603
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Entity Type | Individual
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Provider Name | DEBRA A CIRRINCIONE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 11412 BEACH CHANNEL DR SUITE # 2
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2215
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Country | US
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Telephone | 718-438-6690
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Fax | 718-634-9456
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Provider Business Mailing Address
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Address Line | 444 BEACH 144TH ST
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City | NEPONSIT
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State | NY
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Zip | 11694-1119
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Country | US
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Telephone | 347-866-5559
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Fax | 718-634-9456
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 010921-1
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License Number State | NY
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