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General NPI Number Information
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NPI Number | 1245139591
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Entity Type | Individual
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Provider Name | KYLEE NOVICK
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 21 UNION SQUARE EAST SUITE 300
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City | NEW YORK
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State | NY
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Zip | 10003-0000
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Country | US
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Telephone | 929-684-1086
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Fax |
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Provider Business Mailing Address
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Address Line | 395 SAINT JOHNS PL APT 4D
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City | BROOKLYN
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State | NY
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Zip | 11238-5267
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Country | US
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Telephone | 301-814-9611
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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 | P146978
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License Number State | NY
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