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General NPI Number Information
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NPI Number | 1396619219
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Entity Type | Organization
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Legal Business Name | THE RECONCILIATION CENTER
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 201 MAIN ST
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City | BOONVILLE
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State | NY
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Zip | 13309-1311
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Country | US
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Telephone | 646-856-9454
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24713
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City | BROOKLYN
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State | NY
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Zip | 11202-4713
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Country | US
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Telephone | 646-856-9454
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Fax |
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Authorized Official
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Title or Position | THERAPISR
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Name | LAURA BROWN-RIVERA
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Credential | LMSW
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Telephone | 609-516-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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