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General NPI Number Information
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NPI Number | 1164989885
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Entity Type | Organization
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Legal Business Name | BORGER MENTAL HEALTH COUNSELING PC
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 26 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11242-0103
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Country | US
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Telephone | 631-327-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COURT ST STE 1413
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City | BROOKLYN
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State | NY
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Zip | 11242-1114
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Country | US
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Telephone | 631-327-7520
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Fax | 347-710-2617
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | NICOLE M BORGER
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Credential | LMHC
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Telephone | 631-327-7520
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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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