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General NPI Number Information
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NPI Number | 1952813776
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Entity Type | Individual
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Provider Name | REAMA SEERAM CASAC-T
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 9002 161ST ST
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City | JAMAICA
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State | NY
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Zip | 11432-6108
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Country | US
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Telephone | 718-520-1513
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Fax | 718-520-6460
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Provider Business Mailing Address
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Address Line | 10142 123RD ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2124
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Country | US
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Telephone | 518-952-8408
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Fax | 518-399-6860
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 33583
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 015079
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License Number State | NY
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