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General NPI Number Information
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NPI Number | 1982090478
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Entity Type | Organization
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Legal Business Name | CLAUDIO MOREL
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 49 BALLARD POND DR
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1276
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Country | US
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Telephone | 917-584-5236
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Fax |
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Provider Business Mailing Address
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Address Line | 49 BALLARD POND DR
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1276
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Country | US
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Telephone | 917-584-5236
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Fax |
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Authorized Official
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Title or Position | LICENSE MASTER SOCIAL WORKER
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Name | MR. CLAUDIO M MOREL
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Credential | LMSW
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Telephone | 917-584-5236
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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 | 094428-1
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License Number State | NY
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