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General NPI Number Information
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NPI Number | 1497258958
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Entity Type | Individual
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Provider Name | BRIANA ARDEN REITANO LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 1841 BROADWAY FL 4
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 212-333-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 145 4TH AVE APT 9J
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City | NEW YORK
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State | NY
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Zip | 10003-4921
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Country | US
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Telephone | 203-733-6373
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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 | 103130-1
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License Number State | NY
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