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NPI 1124718382

NPI 1124718382 : MONEY ADDICTIONS OF AMERICA LLC : ROCKY POINT, NY

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General NPI Number Information
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    NPI Number           |    1124718382
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONEY ADDICTIONS OF AMERICA LLC 
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Dates
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    Enumeration Date     |    05/11/2023
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    Last Update Date     |    05/23/2023
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Provider Practice Location Address
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    Address Line         |    4 NEPTUNE RD 
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    City                 |    ROCKY POINT
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    State                |    NY
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    Zip                  |    11778-9623
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    Country              |    US
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    Telephone            |    631-835-7800
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    Fax                  |    631-849-6429
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Provider Business Mailing Address
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    Address Line         |    4 NEPTUNE RD 
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    City                 |    ROCKY POINT
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    State                |    NY
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    Zip                  |    11778-9623
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    Country              |    US
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    Telephone            |    631-835-7800
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    Fax                  |    631-849-6429
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. HEIKO  GANZER 
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    Credential           |    LCSW
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    Telephone            |    631-835-7800
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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       |    
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    License Number State |    
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