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General NPI Number Information
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NPI Number | 1275384091
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Entity Type | Organization
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Legal Business Name | KP CONSULTING
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 211 HAMPTON AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-4107
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Country | US
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Telephone | 917-293-5023
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Fax |
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Provider Business Mailing Address
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Address Line | 2546 E 13TH ST APT F15
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City | BROOKLYN
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State | NY
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Zip | 11235-4376
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Country | US
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Telephone | 917-293-5023
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARINA POLONSKAYA
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Credential | LMHC
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Telephone | 917-293-5023
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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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