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General NPI Number Information
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NPI Number | 1487578027
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Entity Type | Individual
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Provider Name | JEAN-MAX NAISSANT
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Gender | Male
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 232 N MAIN ST
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City | SPRING VALLEY
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State | NY
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Zip | 10977-4020
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Country | US
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Telephone | 845-286-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 11 NEW HEMPSTEAD RD FL 2
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City | NEW CITY
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State | NY
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Zip | 10956-3664
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Country | US
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Telephone | 845-638-5909
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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 |
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License Number State | NY
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