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General NPI Number Information
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NPI Number | 1225431604
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Entity Type | Organization
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Legal Business Name | BEGDAN INTEGRATED COUNSELING LCSW PC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 223 OTIS AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3111
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Country | US
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Telephone | 212-203-6434
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Fax |
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Provider Business Mailing Address
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Address Line | 223 OTIS AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | BAIANA TURATOVA
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Credential | LCSW, CCM
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Telephone | 212-203-6434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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