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General NPI Number Information
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NPI Number | 1942411632
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1329 BEACH CHANNEL DR
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3211
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Country | US
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Telephone | 718-337-6850
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Fax | 718-868-3850
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Provider Business Mailing Address
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Address Line | 516 E FULTON ST
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City | LONG BEACH
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State | NY
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Zip | 11561-2417
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Country | US
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Telephone | 718-337-6850
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Fax | 718-868-3782
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | MS. DEBBIE ANNE TURKEL
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Credential | B.S.,C.A.S.A.C.
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Telephone | 718-337-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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