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General NPI Number Information
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NPI Number | 1225390628
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Entity Type | Individual
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Provider Name | VLADIMIRE CALIXTE LMHC, CRC,, MA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 845 3RD AVE 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-6601
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Country | US
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Telephone | 347-874-6777
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Fax | 347-789-5165
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Provider Business Mailing Address
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Address Line | 845 3RD AVE 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-6601
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Country | US
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Telephone | 347-874-6777
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Fax | 347-789-5165
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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 | 003199
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License Number State | NY
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