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General NPI Number Information
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NPI Number | 1336828441
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Entity Type | Individual
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Provider Name | JAMAL HUSAIN SADLER
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Gender | Male
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 509 WILLIS AVE FL 4A
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City | BRONX
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State | NY
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Zip | 10455-4001
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Country | US
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Telephone | 347-862-2034
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Fax |
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Provider Business Mailing Address
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Address Line | 157 W KINGSBRIDGE RD APT 5C
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City | BRONX
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State | NY
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Zip | 10463-2787
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Country | US
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Telephone | 914-327-1745
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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 | P122737
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License Number State | NY
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