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General NPI Number Information
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NPI Number | 1912452889
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Entity Type | Organization
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Legal Business Name | PATRICIA R. BETTMAN, LLC
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 280 DOBBS FERRY RD SUITE 102
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1900
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Country | US
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Telephone | 914-997-2668
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Fax | 914-328-7019
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Provider Business Mailing Address
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Address Line | 280 DOBBS FERRY RD SUITE 102
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1900
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Country | US
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Telephone | 914-997-2668
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Fax | 914-328-7019
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA R. BETTMAN
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Credential | LCSW
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Telephone | 914-997-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | RO30847-1
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License Number State | NY
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