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General NPI Number Information
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NPI Number | 1730922667
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Entity Type | Individual
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Provider Name | THOMAS ALEXANDER SMITH MHC-LP
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Gender | Male
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 32 UNION SQ E STE 1005
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City | NEW YORK
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State | NY
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Zip | 10003-3237
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Country | US
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Telephone | 212-353-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 51 COWDIN CIR
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City | CHAPPAQUA
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State | NY
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Zip | 10514-1804
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Country | US
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Telephone | 914-703-0651
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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 | P128081
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License Number State | NY
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