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General NPI Number Information
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NPI Number | 1164119624
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Entity Type | Individual
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Provider Name | LAMAR MARLON FARRELL
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Gender | Male
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 347 5TH AVE RM 1402
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City | NEW YORK
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State | NY
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Zip | 10016-5034
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Country | US
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Telephone | 347-460-6570
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Fax | 347-329-4333
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Provider Business Mailing Address
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Address Line | 383 E 17TH ST APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11226-5744
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Country | US
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Telephone | 347-760-5024
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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 |
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License Number State |
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