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General NPI Number Information
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NPI Number | 1790711224
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Entity Type | Organization
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Legal Business Name | DAWN FRIEDLAND-PEREZ, LCSW, P.C.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 8 ROOSEVELT AVE
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-3337
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Country | US
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Telephone | 631-736-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WOODSTORK DR
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City | MOUNT SINAI
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State | NY
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Zip | 11766-3400
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Country | US
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Telephone | 631-736-7707
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | DAWN FRIEDLAND-PEREZ
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Credential | LCSW
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Telephone | 631-367-7077
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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 |
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License Number State |
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