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General NPI Number Information
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NPI Number | 1316395668
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Entity Type | Individual
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Provider Name | DENA MARIE DAMASKINOS LMHC, CRC, CASAC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 325 SUNRISE HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-2110
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Country | US
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Telephone | 631-533-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 528 SECATOGUE AVE
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City | FARMINGDALE
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State | NY
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Zip | 11735-4313
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Country | US
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Telephone | 631-487-8067
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26970
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005821
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License Number State | NY
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