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General NPI Number Information
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NPI Number | 1366376907
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Entity Type | Individual
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Provider Name | JUSTIN KYLE ROCKITTER
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Gender | Male
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 100 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3425
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Country | US
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Telephone | 646-359-2887
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Fax |
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Provider Business Mailing Address
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Address Line | 1844 DENVER RD
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City | WANTAGH
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State | NY
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Zip | 11793-3625
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Country | US
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Telephone | 646-359-2887
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P143184
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License Number State | NY
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