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General NPI Number Information
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NPI Number | 1770222507
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Entity Type | Individual
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Provider Name | MR. MIGUEL ANGEL RIOS
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Gender | Male
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 14015B SANFORD AVE FL 2
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City | FLUSHING
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State | NY
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Zip | 11355-2557
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Country | US
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Telephone | 718-358-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 3041 49TH ST APT 3N
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City | ASTORIA
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State | NY
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Zip | 11103-1398
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Country | US
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Telephone | 805-930-5183
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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 | 118099
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License Number State | NY
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