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General NPI Number Information
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NPI Number | 1043822562
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Entity Type | Individual
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Provider Name | MARALI HOLDER LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 784 ROGERS AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-3602
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Country | US
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Telephone | 718-676-7869
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Fax |
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Provider Business Mailing Address
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Address Line | 11441 116TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-1916
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Country | US
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Telephone | 718-607-8013
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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