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General NPI Number Information
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NPI Number | 1326385725
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Entity Type | Individual
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Provider Name | ARIEL M AVISSAR MA, MT-BC, LCAT
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Gender | Male
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 281 EDGECOMBE AVE APT 7F
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City | NEW YORK
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State | NY
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Zip | 10031-3004
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Country | US
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Telephone | 301-928-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 341 5TH AVE APT 3L
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City | BROOKLYN
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State | NY
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Zip | 11215-2824
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Country | US
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Telephone | 301-928-9494
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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 | 001513
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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 | 001513
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001513
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License Number State | NY
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