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General NPI Number Information
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NPI Number | 1598824138
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Entity Type | Individual
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Provider Name | PERI BETH LUBLIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 55 WATER ST 12 SOUTH
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City | NEW YORK
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State | NY
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Zip | 10041-0004
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Country | US
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Telephone | 646-447-7259
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Fax | 646-447-3231
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Provider Business Mailing Address
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Address Line | 106 W 76TH ST 2B
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City | NEW YORK
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State | NY
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Zip | 10023-8453
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Country | US
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Telephone | 646-447-7259
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Fax | 646-447-3231
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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 | 056744-1
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License Number State | NY
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