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General NPI Number Information
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NPI Number | 1609993047
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Entity Type | Individual
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Provider Name | VINCENT A MINNITI PH.D
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1225 PARK AVE STE 1S
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City | NEW YORK
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State | NY
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Zip | 10128-1758
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Country | US
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Telephone | 908-212-1693
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 CHATFIELD PL
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City | ORLANDO
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State | FL
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Zip | 32814-6625
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Country | US
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Telephone | 908-399-0806
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12979
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000104
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00329700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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