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General NPI Number Information
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NPI Number | 1952681116
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Entity Type | Individual
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Provider Name | DEAHNA REBEKAH CALGARO MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 347 FIFTH AVENUE SUITE 1410
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 917-725-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 347 FIFTH AVENUE SUITE 1410
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City | NEW YORK
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State | NY
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Zip | 10016-5523
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Country | US
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Telephone | 917-725-0440
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005630
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License Number State | PA
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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 | 09876-01
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License Number State | NY
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