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General NPI Number Information
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NPI Number | 1346064417
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Entity Type | Individual
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Provider Name | MIRIELLE CAILLES RANADE MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 629 FIFTH AVE STE 201
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City | PELHAM
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State | NY
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Zip | 10803-3715
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Country | US
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Telephone | 914-368-2995
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Fax |
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Provider Business Mailing Address
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Address Line | 459 CAROL PL
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City | PELHAM
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State | NY
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Zip | 10803-2111
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Country | US
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Telephone | 914-229-8769
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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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