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General NPI Number Information
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NPI Number | 1457980922
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Entity Type | Individual
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Provider Name | NICHOLE LANGLEY
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 5900 N BURDICK ST STE 209
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9463
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Country | US
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Telephone | 315-439-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 118 BOW ST
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City | DOUGLAS
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State | WY
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Zip | 82633-2564
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Country | US
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Telephone | 845-863-6240
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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 | LPC2386
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 012112
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License Number State | NY
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Taxonomy #3
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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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