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NPI 1639376072

NPI 1639376072 : MADELINE FERRARO BARBAROTTO LMHC : DEER PARK, NY

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General NPI Number Information
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    NPI Number           |    1639376072
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    Entity Type          |    Individual 
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    Provider Name        |    MADELINE FERRARO BARBAROTTO LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/29/2007
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    Last Update Date     |    12/05/2022
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Provider Practice Location Address
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    Address Line         |    12 CARTO CIR 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729-5502
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    Country              |    US
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    Telephone            |    516-993-3142
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    Fax                  |    631-242-4962
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Provider Business Mailing Address
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    Address Line         |    12 CARTO CIR 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729-5502
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    Country              |    US
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    Telephone            |    516-993-3142
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    Fax                  |    631-242-4962
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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       |    004837-1
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    License Number State |    NY
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