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General NPI Number Information
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NPI Number | 1497265425
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Entity Type | Individual
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Provider Name | STEVE ROBERT DRAGO JR. LPC-A
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Gender | Male
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 15 HORSEBLOCK PL
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City | FARMINGVILLE
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State | NY
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Zip | 11738
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Country | US
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Telephone | 631-854-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 8120 DUNMORE DR APT Q
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-4404
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Country | US
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Telephone | 585-733-7306
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A14207
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License Number State | NC
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