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General NPI Number Information
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NPI Number | 1437031622
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Entity Type | Individual
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Provider Name | NICHOLAS DASCOLI
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE STE 8A&B
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 631-885-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 78 BLUESPRUCE RD
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City | LEVITTOWN
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State | NY
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Zip | 11756-1946
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Country | US
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Telephone | 516-813-5009
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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 | P135564
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License Number State | NY
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