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General NPI Number Information
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NPI Number | 1669225272
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Entity Type | Individual
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Provider Name | ERIKA DOOMES LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 257 MAIN ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1610
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Country | US
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Telephone | 347-674-9453
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Fax |
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Provider Business Mailing Address
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Address Line | 22 GIFFORD AVE APT 2
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City | JERSEY CITY
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State | NJ
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Zip | 07304-4918
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Country | US
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Telephone | 914-882-4598
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122289-01
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License Number State | NY
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