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General NPI Number Information
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NPI Number | 1902245566
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Entity Type | Individual
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Provider Name | ELENA MARIE PELLEGRINO MSED
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Gender | Female
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 5 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2135
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Country | US
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Telephone | 914-592-8526
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Fax |
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Provider Business Mailing Address
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Address Line | 163 RAMSEY AVE
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City | YONKERS
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State | NY
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Zip | 10701-5243
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Country | US
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Telephone | 914-494-3579
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1899306
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License Number State | NY
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