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General NPI Number Information
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NPI Number | 1144467929
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Entity Type | Organization
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Legal Business Name | MARY ALICE ORITO PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORK PLLC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 85 5TH AVE 927
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone | 917-549-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 330 1ST AVE 3E
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City | NEW YORK
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State | NY
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Zip | 10009-1701
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Country | US
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Telephone | 212-260-9085
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MARY ALICE ORITO
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Credential | LCSW, CASAC, CADC
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Telephone | 212-260-9085
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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 | R053501
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License Number State | NY
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