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General NPI Number Information
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NPI Number | 1942749643
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Entity Type | Organization
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Legal Business Name | LUCIA FALCONE HOLISTIC MENTAL HEALTH COUNSELING SPP
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 2460 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6612
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Country | US
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Telephone | 347-764-5789
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Fax |
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Provider Business Mailing Address
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Address Line | 57 RUMSON RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5951
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Country | US
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Telephone | 347-764-5789
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LUCIA FALCONE
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Credential | LMHC
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Telephone | 347-764-5789
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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 | 007543
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License Number State | NY
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