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General NPI Number Information
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NPI Number | 1982810693
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Entity Type | Organization
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Legal Business Name | ALAYON COUNSELING SERVICES CSW PC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 34-15 77TH ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 718-446-7286
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Fax | 718-487-4533
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Provider Business Mailing Address
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Address Line | 34-15 77TH ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 718-446-7286
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Fax | 718-487-4533
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS O ALAYON
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Credential | LCSW ACSW BCD
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Telephone | 718-446-7286
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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 | R0239330
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License Number State | NY
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