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General NPI Number Information
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NPI Number | 1467179747
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Entity Type | Individual
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Provider Name | ALEKSANDR VINKLER LMHC, CASAC-T
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Gender | Male
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 2860 BAILEY AVE APT 1A
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City | BRONX
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State | NY
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Zip | 10463-7227
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Country | US
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Telephone | 718-701-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 21 BENNETT AVE APT 54
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City | NEW YORK
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State | NY
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Zip | 10033-3635
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Country | US
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Telephone | 646-407-0611
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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 | 010911
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License Number State | NY
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