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General NPI Number Information
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NPI Number | 1144009655
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Entity Type | Individual
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Provider Name | MIKAELA ORENSTEIN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 118 E 28TH ST RM 808
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City | NEW YORK
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State | NY
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Zip | 10016-8449
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Country | US
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Telephone | 646-490-4198
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 JUDITH DR
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City | MERRICK
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State | NY
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Zip | 11566-5448
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Country | US
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Telephone | 516-376-8824
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 002318
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License Number State | NY
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