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General NPI Number Information
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NPI Number | 1871901942
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Entity Type | Individual
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Provider Name | KATHERINE ZUCCARO LMHC, MA, MED
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Gender | Female
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 28 E OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4292
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Country | US
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Telephone | 516-698-9080
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Fax | 516-584-6748
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Provider Business Mailing Address
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Address Line | 75 LEXINGTON AVE
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City | WESTBURY
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State | NY
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Zip | 11590-4307
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Country | US
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Telephone | 516-698-9080
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Fax | 516-584-6748
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005927
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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