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General NPI Number Information
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NPI Number | 1407418247
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Entity Type | Individual
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Provider Name | DANNY RUIZ MHC
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 347 GRAND ST
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City | BROOKLYN
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State | NY
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Zip | 11211-4495
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Country | US
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Telephone | 929-296-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 442 5TH AVE # 1295
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City | NEW YORK
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State | NY
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Zip | 10018-2794
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Country | US
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Telephone | 646-974-9966
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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 | P100495
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License Number State | NY
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