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General NPI Number Information
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NPI Number | 1194479758
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Entity Type | Organization
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Legal Business Name | YOU ARE ACCOUNTABLE, LLC
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 33 W 60TH ST STE 223
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City | NEW YORK
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State | NY
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Zip | 10023-7905
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Country | US
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Telephone | 646-450-7641
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Fax |
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Provider Business Mailing Address
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Address Line | 33 W 60TH ST STE 223
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City | NEW YORK
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State | NY
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Zip | 10023-7905
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Country | US
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Telephone | 646-450-7641
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW SEREL
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Credential |
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Telephone | 646-450-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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