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General NPI Number Information
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NPI Number | 1720482748
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Entity Type | Individual
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Provider Name | LANDIS BLOCK BEJAR LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 353 LEXINGTON AVE STE 200
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City | NEW YORK
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State | NY
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Zip | 10016-0977
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Country | US
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Telephone | 917-524-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 353 LEXINGTON AVE STE 300
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City | NEW YORK
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State | NY
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Zip | 10016-0941
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Country | US
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Telephone | 917-524-9031
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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 | P9745
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License Number State | NY
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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 | 008127
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License Number State | NY
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