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General NPI Number Information
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NPI Number | 1609941814
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Entity Type | Individual
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Provider Name | GUY ANTHONY KOUTOUVIDIS MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14 E BROADWAY SUITE 2
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1400
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Country | US
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Telephone | 631-642-9525
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Fax | 631-642-9525
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Provider Business Mailing Address
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Address Line | 4 OLIVIA DR
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-4470
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Country | US
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Telephone | 631-474-2162
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R052825-1
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License Number State | NY
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