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General NPI Number Information
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NPI Number | 1841581006
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Entity Type | Organization
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Legal Business Name | HISPANIC COUNSELING CENTER
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 344 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3923
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Country | US
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Telephone | 516-538-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 344 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3923
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Country | US
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Telephone | 516-538-2613
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MS. MARIA L CARDONA
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Credential | MSW
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Telephone | 516-538-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 1023182094
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License Number State | NY
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