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NPI 1679252852

NPI 1679252852 : JULIE ALLISON PETER LMSW : TARRYTOWN, NY

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General NPI Number Information
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    NPI Number           |    1679252852
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    Entity Type          |    Individual 
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    Provider Name        |    JULIE ALLISON PETER LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2023
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    Last Update Date     |    07/17/2023
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Provider Practice Location Address
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    Address Line         |    150 WHITE PLAINS RD STE 208 
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    City                 |    TARRYTOWN
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    State                |    NY
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    Zip                  |    10591-5521
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    Country              |    US
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    Telephone            |    845-419-8473
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    150 WHITE PLAINS RD STE 208 
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    City                 |    TARRYTOWN
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    State                |    NY
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    Zip                  |    10591-5521
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    Country              |    US
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    Telephone            |    845-419-8473
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    Fax                  |    888-325-0080
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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       |    120381
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    License Number State |    NY
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