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General NPI Number Information
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NPI Number | 1063114379
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Entity Type | Organization
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Legal Business Name | THERAPY FOR MINDFUL EVOLUTION NEW YORK LLC
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 41 OXFORD LN
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City | HARRIMAN
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State | NY
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Zip | 10926-3008
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Country | US
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Telephone | 845-401-6215
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Fax |
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Provider Business Mailing Address
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Address Line | 41 OXFORD LN
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City | HARRIMAN
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State | NY
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Zip | 10926-3008
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Country | US
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Telephone | 845-401-6215
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRENDALIZ FADUL
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Credential | LMHC
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Telephone | 914-979-1384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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