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NPI 1487364766

NPI 1487364766 : AZIA CARTER LMFT : NEW ROCHELLE, NY

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General NPI Number Information
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    NPI Number           |    1487364766
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    Entity Type          |    Individual 
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    Provider Name        |    AZIA CARTER LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/28/2022
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    Last Update Date     |    02/17/2025
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Provider Practice Location Address
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    Address Line         |    481 MAIN ST STE 401 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10801-6360
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    Country              |    US
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    Telephone            |    914-355-2440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2905 BRONXWOOD AVE UNIT 1 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10469-3629
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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    |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    P115993
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    002258
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    License Number State |    NY
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