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General NPI Number Information
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NPI Number | 1588844872
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Entity Type | Organization
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Legal Business Name | WILLIAM T. LENT, LCSW, LLC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 110 WEST 96TH STREET SUITE# 1D
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City | NEW YORK
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State | NY
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Zip | 10025-6412
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Country | US
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Telephone | 646-322-1582
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331
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City | RHINEBECK
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State | NY
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Zip | 12572-0331
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Country | US
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Telephone | 646-322-1582
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. WILLIAM THOMAS LENT
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Credential | LCSW
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Telephone | 646-322-1582
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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 | 042325
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License Number State | NY
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