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General NPI Number Information
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NPI Number | 1154182277
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Entity Type | Individual
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Provider Name | MS. CARA ANGELA LIGUORI
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Gender | Female
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-442-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 61-37 157TH STREET
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City | FLUSHING
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State | NY
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Zip | 11367
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Country | US
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Telephone | 917-670-3567
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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