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General NPI Number Information
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NPI Number | 1760890222
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Entity Type | Individual
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Provider Name | RICHARD PASCALE LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 19 HYGELA PLACE APT LL1
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City | STATEN ISLAND
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State | NY
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Zip | 10304
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Country | US
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Telephone | 718-354-0302
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Fax | 718-761-3162
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Provider Business Mailing Address
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Address Line | 3 WILLIAM AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3142
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Country | US
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Telephone | 718-698-3032
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Fax | 718-761-3162
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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 | 005714-1
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License Number State | NY
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