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General NPI Number Information
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NPI Number | 1578446233
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Entity Type | Individual
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Provider Name | ERNEST CHARLES NORTH D..MIN.(HC)
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Gender | Male
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 9 BURNING BUSH BLVD
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City | BALLSTON LAKE
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State | NY
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Zip | 12019-9365
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Country | US
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Telephone | 518-881-8544
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Fax |
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Provider Business Mailing Address
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Address Line | 16 N HILL DR
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City | BALLSTON LAKE
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State | NY
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Zip | 12019-1310
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Country | US
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Telephone | 518-881-8544
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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