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General NPI Number Information
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NPI Number | 1285351148
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Entity Type | Individual
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Provider Name | KARLA T CACERES
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Gender | Female
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 522 COURTLANDT AVE
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City | BRONX
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State | NY
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Zip | 10451-5772
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Country | US
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Telephone | 917-227-8016
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Fax |
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Provider Business Mailing Address
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Address Line | 205 SCHOLES ST APT 3A
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City | BROOKLYN
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State | NY
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Zip | 11206-2274
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Country | US
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Telephone | 718-559-9506
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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 | P114569
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License Number State | NY
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