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General NPI Number Information
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NPI Number | 1376250050
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Entity Type | Individual
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Provider Name | XIAO SHI LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 253 SOUTH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10002-7827
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Country | US
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Telephone | 212-720-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W 85TH ST # 3C
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City | NEW YORK
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State | NY
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Zip | 10024-4400
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Country | US
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Telephone | 646-708-6278
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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 | 011751
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License Number State | NY
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