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General NPI Number Information
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NPI Number | 1508488172
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Entity Type | Individual
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Provider Name | MR. JARED DICICCO-BLOOM
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Gender | Male
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Dates
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Enumeration Date | 05/17/2020
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Last Update Date | 05/17/2020
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Provider Practice Location Address
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Address Line | 303 5TH AVE RM 1003
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City | NEW YORK
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State | NY
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Zip | 10016-6639
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Country | US
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Telephone | 212-686-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 MADISON AVE APT 10A
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City | NEW YORK
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State | NY
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Zip | 10029-3117
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Country | US
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Telephone | 609-651-3578
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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 |
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