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General NPI Number Information
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NPI Number | 1295353449
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Entity Type | Individual
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Provider Name | RITA LABREW MASTERS OF SCIENCE
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | 310 SAINT NICHOLAS AVE STE 1
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City | BROOKLYN
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State | NY
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Zip | 11237-6568
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Country | US
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Telephone | 929-296-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 140 BENCHLEY PL APT 10A
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City | BRONX
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State | NY
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Zip | 10475-3537
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Country | US
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Telephone | 917-689-8379
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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 | P107126
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License Number State | NY
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