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General NPI Number Information
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NPI Number | 1376086033
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Entity Type | Individual
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Provider Name | FRANCESCA C BASLOW MA, LCAT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 80 UNIVERSITY PL SUITE 2I
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City | NEW YORK
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State | NY
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Zip | 10003-4564
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Country | US
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Telephone | 917-647-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 56 DEMAREST AVE
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City | WEST NYACK
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State | NY
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Zip | 10994-1834
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Country | US
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Telephone | 917-647-7126
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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 | LCAT# 000241
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License Number State | NY
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