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General NPI Number Information
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NPI Number | 1639028079
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Entity Type | Individual
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Provider Name | MS. MANISHA VIJAYARAGHAVAN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 220 E 42ND ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10017-5831
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Country | US
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Telephone | 917-538-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E 42ND ST FL USA6
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City | NEW YORK
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State | NY
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Zip | 10017-5835
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Country | US
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Telephone | 917-538-8833
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00454200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005036
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License Number State | NY
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