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General NPI Number Information
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NPI Number | 1013317692
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Entity Type | Organization
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Legal Business Name | POST GRADUATE CENTER
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 158 E 35TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4102
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Country | US
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Telephone | 212-889-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 158 E 35TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4102
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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 | PSYCHOTHERAPIST
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Name | REYNA KAHAN
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Credential | MSW
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Telephone | 917-509-5422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 082127
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License Number State | NY
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