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NPI 1841869476

NPI 1841869476 : RONI FAYE FIGUEROA L-CAT : HOLBROOK, NY

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General NPI Number Information
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    NPI Number           |    1841869476
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    Entity Type          |    Individual 
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    Provider Name        |    RONI FAYE FIGUEROA L-CAT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2021
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    Last Update Date     |    06/18/2021
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Provider Practice Location Address
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    Address Line         |    346 SINGINGWOOD DR 
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    City                 |    HOLBROOK
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    State                |    NY
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    Zip                  |    11741-2829
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    Country              |    US
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    Telephone            |    631-334-1655
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    346 SINGINGWOOD DR 
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    City                 |    HOLBROOK
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    State                |    NY
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    Zip                  |    11741-2829
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    Country              |    US
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    Telephone            |    631-334-1655
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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        |    221700000X
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    Taxonomy Name        |    Art Therapist
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    License Number       |    000988
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    License Number State |    NY
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