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General NPI Number Information
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NPI Number | 1144832379
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Entity Type | Organization
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Legal Business Name | PAKI CHIREAH, LCSW, PLLC
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 32 UNION SQ E STE 411
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City | NEW YORK
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State | NY
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Zip | 10003-3245
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Country | US
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Telephone | 212-678-0252
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Fax |
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Provider Business Mailing Address
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Address Line | 1967 BEDFORD AVE APT 4B
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City | BROOKLYN
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State | NY
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Zip | 11225-5792
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Country | US
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Telephone | 978-406-5144
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAKI CHIREAH
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Credential | LCSW-R
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Telephone | 212-678-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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