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NPI 1619857802

NPI 1619857802 : RHEA THAKUR : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1619857802
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    Entity Type          |    Individual 
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    Provider Name        |    RHEA THAKUR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/08/2025
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    1412 BROADWAY STE 2125 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10018-9228
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    Country              |    US
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    Telephone            |    888-981-7565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2840 JACKSON AVE APT 32A 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-3371
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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 |    NY
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