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General NPI Number Information
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NPI Number | 1235492984
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Entity Type | Individual
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Provider Name | CHARLES R GREFER LMHC
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Gender | Male
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 7475 MORGAN RD 7-2
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City | LIVERPOOL
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State | NY
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Zip | 13090-3921
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Country | US
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Telephone | 315-744-4388
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Fax |
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Provider Business Mailing Address
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Address Line | 7475 MORGAN RD 7-2
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City | LIVERPOOL
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State | NY
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Zip | 13090-3921
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Country | US
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Telephone | 315-744-4388
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 001258
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 001258
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001258
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001258
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001258
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 001258
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001258
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License Number State | NY
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