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General NPI Number Information
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NPI Number | 1336719681
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Entity Type | Individual
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Provider Name | SAMANTHA SILOR MHC, MA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 875 6TH AVE RM 2300
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City | NEW YORK
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State | NY
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Zip | 10001-3507
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Country | US
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Telephone | 732-778-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 34TH ST APT 3R
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City | ASTORIA
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State | NY
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Zip | 11103-4920
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Country | US
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Telephone | 205-919-3777
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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 | P109608
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License Number State | NY
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