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General NPI Number Information
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NPI Number | 1689155129
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Entity Type | Individual
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Provider Name | ASHER YITZCHOK REISS MSW
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Gender | Male
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 40 ROBERT PITT DR
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City | MONSEY
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State | NY
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Zip | 10952-3333
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Country | US
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Telephone | 845-352-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 2 GILMAN TER
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City | SPRING VALLEY
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State | NY
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Zip | 10977-6012
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Country | US
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Telephone | 845-263-2371
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P12640
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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