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General NPI Number Information
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NPI Number | 1427643618
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Entity Type | Organization
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Legal Business Name | CAPAZ MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 15501 90TH AVE APT 3R
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City | JAMAICA
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State | NY
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Zip | 11432-3851
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Country | US
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Telephone | 347-450-8539
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32422
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City | JAMAICA
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State | NY
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Zip | 11431-4422
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Country | US
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Telephone | 347-450-8539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSENIA RAMIREZ
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Credential | LMHC
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Telephone | 347-450-8539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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