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General NPI Number Information
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NPI Number | 1477323848
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Entity Type | Organization
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Legal Business Name | KATE DELATIZKY THERAPY
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 3 VALLEY VIEW TER
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1511
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Country | US
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Telephone | 914-588-3896
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Fax |
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Provider Business Mailing Address
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Address Line | 360 N BEDFORD RD # 1060
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KATE DELATIZKY
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Credential | LCSW
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Telephone | 914-588-3896
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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 |
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License Number State |
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