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General NPI Number Information
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NPI Number | 1427845205
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Entity Type | Individual
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Provider Name | MS. GERALDINE M GORDON
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 130 E 177TH ST
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City | BRONX
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State | NY
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Zip | 10453-5902
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Country | US
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Telephone | 212-665-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 501 E 165TH ST APT 5A
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City | BRONX
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State | NY
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Zip | 10456-6651
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Country | US
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Telephone | 917-526-5329
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Fax | 917-526-5329
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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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