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General NPI Number Information
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NPI Number | 1992546691
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Entity Type | Individual
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Provider Name | CAROLYN VERNON
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | PCS 1075 BROADWAY CTG.6
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City | PLEASANTVILLE
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State | NY
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Zip | 10562
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Country | US
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Telephone | 914-649-2019
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 BROADWAY
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2346
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Country | US
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Telephone | 914-773-6916
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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