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General NPI Number Information
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NPI Number | 1821562471
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Entity Type | Organization
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Legal Business Name | SUCCEED PLUS PC
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 20 SUNRISE DR
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City | MONSEY
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State | NY
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Zip | 10952-3305
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Country | US
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Telephone | 917-701-3618
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Fax | 845-570-0743
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Provider Business Mailing Address
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Address Line | 26 NISSAN CT
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City | MONSEY
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State | NY
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Zip | 10952-3357
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Country | US
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Telephone | 917-701-3618
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Fax | 845-570-0743
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Authorized Official
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Title or Position | OWNER
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Name | MEIR OSTER
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Credential | LMSW
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Telephone | 917-701-3618
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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