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General NPI Number Information
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NPI Number | 1710215967
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Entity Type | Individual
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Provider Name | DONNA LYN PERLMUTTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 11630 SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-1527
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Country | US
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Telephone | 718-322-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 67TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-2663
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Country | US
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Telephone | 718-896-3963
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R033562-1
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License Number State | NY
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