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General NPI Number Information
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NPI Number | 1588981591
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Entity Type | Individual
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Provider Name | SHELBY JILL SEMINO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 432 W 58TH ST 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019-1102
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Country | US
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Telephone | 212-523-6637
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Fax |
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Provider Business Mailing Address
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Address Line | 88 COURT ST #2
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City | BROOKLYN
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State | NY
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Zip | 11201-5024
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Country | US
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Telephone | 347-534-6748
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 018569
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License Number State | NY
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