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NPI 1063988376

NPI 1063988376 : ARIEL ORLANDO RAMOS CASAC 2 : LONG ISLAND CITY, NY

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General NPI Number Information
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    NPI Number           |    1063988376
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    Entity Type          |    Individual 
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    Provider Name        |    ARIEL ORLANDO RAMOS CASAC 2
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/15/2018
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    Last Update Date     |    09/27/2021
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Provider Practice Location Address
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    Address Line         |    2976 NORTHERN BLVD 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-2822
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    Country              |    US
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    Telephone            |    347-510-3622
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    50 AVENUE D APT 14E 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10009-7037
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    Country              |    US
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    Telephone            |    718-316-0621
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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       |    132645436
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    License Number State |    NY
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    29667
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    License Number State |    NY
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