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General NPI Number Information
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NPI Number | 1629132238
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Entity Type | Individual
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Provider Name | HELENE ROSS LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 950 S OYSTER BAY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-3510
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Country | US
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Telephone | 516-997-1688
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Fax | 516-396-0103
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Provider Business Mailing Address
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Address Line | 4517 IRIS LN
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City | GREAT NECK
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State | NY
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Zip | 11020-1063
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Country | US
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Telephone | 516-487-9465
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18001286
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License Number State | NY
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