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General NPI Number Information
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NPI Number | 1700690666
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Entity Type | Individual
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Provider Name | ALANA NICHOLAS
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 224 W 35TH ST STE 500
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City | NEW YORK
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State | NY
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Zip | 10001-2538
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Country | US
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Telephone | 347-409-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 76 BEACON AVE APT 3B
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City | JERSEY CITY
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State | NJ
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Zip | 07306-1537
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Country | US
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Telephone | 347-977-6823
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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 | 014226
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License Number State | NY
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