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General NPI Number Information
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NPI Number | 1962610717
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Entity Type | Individual
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Provider Name | INES GUARIGUATA LCSW, LCAT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 130 7TH AVE # 139
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City | NEW YORK
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State | NY
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Zip | 10011-1803
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Country | US
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Telephone | 929-325-1347
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Fax | 347-338-2090
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Provider Business Mailing Address
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Address Line | 130 7TH AVE # 139
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City | NEW YORK
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State | NY
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Zip | 10011-1803
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Country | US
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Telephone | 929-325-1347
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Fax | 347-338-2090
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 000162
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 083000
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License Number State | NY
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