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General NPI Number Information
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NPI Number | 1376866277
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Entity Type | Organization
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Legal Business Name | HISPANIC COUNSELING CENTER
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 344 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3923
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Country | US
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Telephone | 516-538-2613
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Fax | 516-538-2515
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Provider Business Mailing Address
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Address Line | 344 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3923
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Country | US
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Telephone | 516-538-2613
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Fax | 516-538-2515
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. GLADYS SERRANO
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Credential | LCSW
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Telephone | 516-538-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 076402
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License Number State | NY
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