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General NPI Number Information
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NPI Number | 1245692805
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Entity Type | Organization
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Legal Business Name | MARIA LAURA FARRET
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 20 BOGARDUS PL APT 4D
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City | NEW YORK
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State | NY
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Zip | 10040-2369
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Country | US
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Telephone | 917-680-5429
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Fax |
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Provider Business Mailing Address
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Address Line | 20 BOGARDUS PL APT 4D
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City | NEW YORK
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State | NY
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Zip | 10040-2369
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREATIVE ARTS THERAPIST
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Name | MARIA LAURA FARRET
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Credential |
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Telephone | 917-680-5429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001945
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License Number State | NY
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