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General NPI Number Information
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NPI Number | 1104381557
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Entity Type | Individual
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Provider Name | TAHA ALI ALVI LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 275 BROADHOLLOW RD STE 120
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City | MELVILLE
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State | NY
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Zip | 11747-4863
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Country | US
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Telephone | 845-279-5908
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Fax | 845-622-5055
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Provider Business Mailing Address
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Address Line | 667 STONELEIGH AVE STE 202
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City | CARMEL
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State | NY
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Zip | 10512-2455
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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 | 014667
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License Number State | NY
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