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General NPI Number Information
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NPI Number | 1316580244
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Entity Type | Individual
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Provider Name | JOSEPH MITCHELL
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Gender | Male
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 432 W 204TH ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10034-3727
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Country | US
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Telephone | 914-229-1552
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Fax |
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Provider Business Mailing Address
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Address Line | 423 W 204 STREET #2D
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City | NYC
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State | NY
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Zip | 10034
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Country | US
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Telephone | 914-229-1552
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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 |
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License Number State |
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