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General NPI Number Information
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NPI Number | 1992672992
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Entity Type | Individual
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Provider Name | JULEISI FELIZ MORENO
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Gender | Female
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2265 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10035-2231
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Country | US
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Telephone | 212-289-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 10022 222ND ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1660
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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