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General NPI Number Information
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NPI Number | 1770641235
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Entity Type | Organization
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Legal Business Name | DANIEL RAFFAELE INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 JOHN ST
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City | MASSAPEQUA
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State | NY
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Zip | 11758
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Country | US
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Telephone | 516-795-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 15 JOHN ST
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City | MASSAPEQUA
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State | NY
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Zip | 11758
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Country | US
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Telephone | 516-795-7561
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Fax | 516-541-3626
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL G RAFFAELE
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Credential | LCSW
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Telephone | 516-795-7561
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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 | LCSWPR025188
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License Number State | NY
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