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General NPI Number Information
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NPI Number | 1194182261
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Entity Type | Individual
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Provider Name | MEREDITH HOPE SHIREY LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 42 BROADWAY SUITE 12-150
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City | NEW YORK
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State | NY
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Zip | 10004-1617
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Country | US
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Telephone | 929-844-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 844 AMSTERDAM AVE APT. 4N
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City | NEW YORK
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State | NY
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Zip | 10025-5127
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Country | US
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Telephone | 929-244-3860
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 06001286
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License Number State | NY
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