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General NPI Number Information
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NPI Number | 1215721311
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Entity Type | Individual
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Provider Name | SAEEDA JACQUELINE THOMAS MHC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 18709 LINDEN BLVD
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City | SAINT ALBANS
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State | NY
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Zip | 11412-4025
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Country | US
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Telephone | 718-500-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 292 MACON ST # PVT
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City | BROOKLYN
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State | NY
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Zip | 11216-2415
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Country | US
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Telephone | 718-809-5155
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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 | P134191
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License Number State | NY
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