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General NPI Number Information
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NPI Number | 1306592282
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Entity Type | Individual
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Provider Name | MOLLY BARAK LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 134 N 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3296
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Country | US
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Telephone | 646-450-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 33RD ST APT 8E
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City | NEW YORK
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State | NY
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Zip | 10016-4827
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Country | US
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Telephone | 516-404-2816
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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 | 014068
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License Number State | NY
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