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General NPI Number Information
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NPI Number | 1568177970
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Entity Type | Organization
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Legal Business Name | DR. KARLA FALLON, PHD, LMHC, LICENSED MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 100 PARK AVE RM 1600
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City | NEW YORK
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State | NY
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Zip | 10017-5538
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Country | US
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Telephone | 347-229-6356
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Fax | 347-434-8479
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Provider Business Mailing Address
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Address Line | 100 PARK AVE RM 1600
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City | NEW YORK
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State | NY
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Zip | 10017-5538
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Country | US
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Telephone | 347-229-6356
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Fax | 347-434-8479
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARLA S FALLON
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Credential | PHD, LMHC
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Telephone | 347-229-6356
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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 |
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License Number State |
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