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General NPI Number Information
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NPI Number | 1437335155
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Entity Type | Organization
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Legal Business Name | POSTGRADUATE CENTER FOR MENTAL HEALTH
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 158 E 35TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4102
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Country | US
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Telephone | 212-889-5500
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Fax | 212-889-5501
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Provider Business Mailing Address
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Address Line | 158 E 35TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4102
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Country | US
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Telephone | 212-889-5500
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Fax | 212-889-5501
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Authorized Official
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Title or Position | VICE-PRESIDENT OF OPERATIONS
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Name | MS. MARCIA HOLMAN
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Credential | L.C.S.W.
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Telephone | 212-889-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 72039816
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License Number State | NY
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