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General NPI Number Information
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NPI Number | 1730779521
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Entity Type | Individual
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Provider Name | HADLEY MERRILL
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 148 MADISON AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10016-6700
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Country | US
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Telephone | 917-216-7787
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Fax |
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Provider Business Mailing Address
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Address Line | 366 W 11TH ST APT 3C
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City | NEW YORK
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State | NY
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Zip | 10014-6237
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Country | US
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Telephone | 203-434-1006
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 |
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License Number State |
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