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General NPI Number Information
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NPI Number | 1649467358
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Entity Type | Individual
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Provider Name | JENNIFER KAY
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 100 E OLD COUNTRY RD
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City | MINEOLA
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State | NY
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Zip | 11501-4633
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Country | US
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Telephone | 516-741-0604
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Fax | 516-741-0634
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Provider Business Mailing Address
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Address Line | 1149 GLEN COVE AVE
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City | ROSLYN
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State | NY
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Zip | 11576-1206
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Country | US
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Telephone | 954-295-6236
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 007034
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12833
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License Number State | FL
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