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General NPI Number Information
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NPI Number | 1356020218
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Entity Type | Individual
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Provider Name | BETHANY SINCLAIR MA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 113 UNIVERSITY PL FL 11
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City | NEW YORK
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State | NY
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Zip | 10003-4527
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Country | US
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Telephone | 646-374-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 458 15TH ST APT 1L
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City | BROOKLYN
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State | NY
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Zip | 11215-5729
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Country | US
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Telephone | 917-790-3121
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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 | 18-P122739-01
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License Number State | NY
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