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General NPI Number Information
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NPI Number | 1932929213
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Entity Type | Individual
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Provider Name | PAULINE LOUIS MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 7 FRANKLIN AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-1264
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Country | US
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Telephone | 917-803-1563
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Fax |
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Provider Business Mailing Address
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Address Line | 19 REMSEN AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-2709
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Country | US
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Telephone | 516-604-8571
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 073650
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P127801
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License Number State | NY
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