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General NPI Number Information
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NPI Number | 1649702960
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Entity Type | Organization
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Legal Business Name | TEAMER COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 21 FAIRMONT AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2409
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Country | US
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Telephone | 845-240-4941
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FAIRMONT AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2409
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Country | US
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Telephone | 845-240-4941
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY D TEAMER
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Credential | LCSWR
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Telephone | 845-240-4941
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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 | 0044971
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0781631
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 079690
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License Number State | NY
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