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General NPI Number Information
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NPI Number | 1699439828
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Entity Type | Organization
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Legal Business Name | DEFINING MOMENTS MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 131 VILLAGEGREEN CT
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City | WARWICK
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State | NY
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Zip | 10990-4237
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Country | US
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Telephone | 201-618-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 131 VILLAGEGREEN CT
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City | WARWICK
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State | NY
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Zip | 10990-4237
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Country | US
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Telephone | 201-618-1400
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | GIULIA PREZIUSO
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Credential |
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Telephone | 201-618-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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