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NPI 1003778812

NPI 1003778812 : ASIA MARIA GALI-PARKS : BRENTWOOD, NY

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General NPI Number Information
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    NPI Number           |    1003778812
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    Entity Type          |    Individual 
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    Provider Name        |    ASIA MARIA GALI-PARKS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    400 CROOKED HILL RD 
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    City                 |    BRENTWOOD
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    State                |    NY
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    Zip                  |    11717-1039
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    Country              |    US
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    Telephone            |    516-988-0118
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    135 ABBINGTON CT 
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    City                 |    COPIAGUE
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    State                |    NY
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    Zip                  |    11726-4403
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    Country              |    US
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    Telephone            |    516-988-0118
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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