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General NPI Number Information
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NPI Number | 1235832353
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Entity Type | Organization
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Legal Business Name | JAYCEE CONSULTING AND PSYCHOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 125 PARK AVE FL 25
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City | NEW YORK
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State | NY
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Zip | 10017-5550
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Country | US
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Telephone | 646-982-0906
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Fax | 718-352-7495
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Provider Business Mailing Address
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Address Line | 125 PARK AVE FL 25TH
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City | NEW YORK
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State | NY
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Zip | 10017-5529
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Country | US
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Telephone | 646-982-0906
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Fax | 718-352-7495
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DR. JAMES C EGEDE
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Credential | PHD, LMHC
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Telephone | 917-705-9007
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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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