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General NPI Number Information
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NPI Number | 1598582686
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Entity Type | Individual
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Provider Name | JAMILA M INOCENTE PAZ
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Gender | Female
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 500 BERGEN AVE
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City | BRONX
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State | NY
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Zip | 10455-4048
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Country | US
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Telephone | 917-952-1791
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Fax |
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Provider Business Mailing Address
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Address Line | 12 SUNSET DR
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City | YONKERS
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State | NY
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Zip | 10704-2706
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Country | US
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Telephone | 929-231-7023
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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 | 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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