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General NPI Number Information
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NPI Number | 1497398440
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Entity Type | Individual
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Provider Name | MOSHE RATSON
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Gender | Male
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 260 MADISON AVE # 8023
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City | NEW YORK
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State | NY
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Zip | 10016-2400
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Country | US
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Telephone | 917-692-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 YORK AVE APT 26A
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City | NEW YORK
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State | NY
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Zip | 10128-6872
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Country | US
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Telephone | 917-692-3867
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000697
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License Number State | NY
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