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General NPI Number Information
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NPI Number | 1992246748
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Entity Type | Organization
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Legal Business Name | INNER STRENGTH COUNSELING
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 1405 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1356
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Country | US
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Telephone | 631-627-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1356
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Country | US
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Telephone | 631-627-9496
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MRS. JEAN-MARIE O'HEHIR
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Credential | LCSW
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Telephone | 631-627-9496
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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 | 084301
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License Number State | NY
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