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General NPI Number Information
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NPI Number | 1619857562
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Entity Type | Individual
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Provider Name | PATRICK BOATWRIGHT
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 30 5TH AVE APT 1A
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City | NEW YORK
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State | NY
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Zip | 10011-8803
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Country | US
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Telephone | 929-620-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ARION PL
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City | BROOKLYN
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State | NY
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Zip | 11206-6002
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Country | US
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Telephone |
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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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