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General NPI Number Information
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NPI Number | 1568115517
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Entity Type | Individual
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Provider Name | PATRICIA AKOLO
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Gender | Female
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 244 5TH AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10001-7934
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Country | US
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Telephone | 646-504-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 775 CONCOURSE VLG E APT 19E
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City | BRONX
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State | NY
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Zip | 10451-3958
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Country | US
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Telephone | 510-332-4713
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 113814
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License Number State | NY
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