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General NPI Number Information
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NPI Number | 1952792277
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Entity Type | Individual
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Provider Name | CHIARA CASTILLA-BROOKS MS
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 55 SYCAMORE AVE
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City | LAKE GROVE
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State | NY
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Zip | 11755-2734
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Country | US
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Telephone | 347-495-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SYCAMORE AVE
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City | LAKE GROVE
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State | NY
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Zip | 11755-2734
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Country | US
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Telephone | 347-495-8855
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CASAC-32643 TRAINEE
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P03748
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License Number State | NY
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