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General NPI Number Information
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NPI Number | 1659443901
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Entity Type | Individual
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Provider Name | GARRY RICHARD DBRANT DC ND LCSW DA CBN
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 977 GLEN COVE AVE
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City | GLEN HEAD
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State | NY
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Zip | 11545
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Country | US
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Telephone | 516-609-0890
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Fax | 516-609-0893
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Provider Business Mailing Address
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Address Line | 10 CEDAR SWAMP RD STE 3
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City | GLEN COVE
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State | NY
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Zip | 11542-3746
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Country | US
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Telephone | 516-609-0890
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Fax | 516-609-0893
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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 | R020706
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R0207061
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 0037641
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0037641
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X0055941
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License Number State | NY
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