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General NPI Number Information
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NPI Number | 1942834825
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Entity Type | Organization
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Legal Business Name | LAUREN MICELI COUNSELING, PC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 2171 JERICHO TPKE
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City | COMMACK
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State | NY
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Zip | 11725-2937
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Country | US
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Telephone | 516-252-0349
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Fax |
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Provider Business Mailing Address
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Address Line | 2171 JERICHO TPKE
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City | COMMACK
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State | NY
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Zip | 11725-2937
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Country | US
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Telephone | 516-252-0349
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAUREN MICELI
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Credential | LCSW-R
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Telephone | 516-252-0349
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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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