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General NPI Number Information
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NPI Number | 1578212338
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Entity Type | Organization
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Legal Business Name | ATLAS GROUP INC.
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 59 JOHN ST APT 2C
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City | NEW YORK
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State | NY
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Zip | 10038-3733
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Country | US
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Telephone | 424-202-4942
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Fax |
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Provider Business Mailing Address
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Address Line | 28-04 33RD AVE #4A
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City | ASTORIA
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State | NY
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Zip | 11106
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Country | US
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Telephone | 424-202-4942
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEJANDRO FERNANDEZ
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Credential |
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Telephone | 424-202-4942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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