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General NPI Number Information
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NPI Number | 1578197075
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Entity Type | Individual
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Provider Name | DR. DIVYA SINGHAL PRASAD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 470 W END AVE APT 15F
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City | NEW YORK
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State | NY
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Zip | 10024-4933
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Country | US
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Telephone | 917-324-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 470 W END AVE APT 15F
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City | NEW YORK
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State | NY
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Zip | 10024-4933
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Country | US
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Telephone | 917-324-0406
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-59282
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License Number State | NY
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