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General NPI Number Information
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NPI Number | 1295333979
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Entity Type | Individual
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Provider Name | PHOENIX AMAL MUHAMMAD LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 212-363-0787
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY # 8345
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 929-324-7081
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001711
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License Number State | NY
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