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General NPI Number Information
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NPI Number | 1528780178
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Entity Type | Individual
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Provider Name | SI HE
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 810 CLASSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11238-6102
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Country | US
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Telephone | 703-209-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 4615 LINDELL BLVD APT 1008
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3720
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Country | US
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Telephone | 703-209-1886
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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