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General NPI Number Information
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NPI Number | 1669979928
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Entity Type | Individual
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Provider Name | ROBERTO W CHIA CHERRE NCC, LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 161 N MIDDLETOWN RD
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City | PEARL RIVER
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State | NY
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Zip | 10965-2030
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Country | US
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Telephone | 845-219-1637
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Fax | 845-535-1275
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Provider Business Mailing Address
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Address Line | 525 COUNTRY CLUB LN
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City | POMONA
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State | NY
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Zip | 10970-2344
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Country | US
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Telephone | 845-558-8028
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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 | 008576
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License Number State | NY
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