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General NPI Number Information
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NPI Number | 1801917828
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Entity Type | Individual
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Provider Name | RODNEY M MEANS MA
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1515 HAZEN ST PHS, PC - RIKERS ISLAND
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1395
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Country | US
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Telephone | 718-546-4781
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Fax | 718-546-4983
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Provider Business Mailing Address
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Address Line | 321 E 89TH ST APT. 5-E
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City | NEW YORK
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State | NY
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Zip | 10128-5051
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Country | US
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Telephone | 212-722-5286
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Fax | 718-546-4983
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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 | 001515
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License Number State | NY
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