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General NPI Number Information
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NPI Number | 1457757478
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Entity Type | Organization
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Legal Business Name | TLC WELLNESS LCSW, PC
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 53 ELIZABETH ST # 5A
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City | NEW YORK
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State | NY
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Zip | 10013-4617
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Country | US
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Telephone | 646-825-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 53 ELIZABETH ST # 5A
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City | NEW YORK
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State | NY
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Zip | 10013-4617
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Country | US
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Telephone | 646-825-1922
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Fax |
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Authorized Official
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Title or Position | LCSW/ OWNER
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Name | HAN-PING TSAI
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Credential | LCSW
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Telephone | 646-825-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 076510-R
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License Number State | NY
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