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General NPI Number Information
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NPI Number | 1780341958
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Entity Type | Individual
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Provider Name | ANASTASIA PRZYBYLA
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Gender | Female
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 812 STATE FAIR BLVD STE 2
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City | SYRACUSE
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State | NY
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Zip | 13209-1312
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Country | US
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Telephone | 315-221-3820
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Fax | 855-485-1189
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Provider Business Mailing Address
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Address Line | 812 STATE FAIR BLVD STE 2
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City | SYRACUSE
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State | NY
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Zip | 13209-1312
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Country | US
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Telephone | 315-221-3820
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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 | 014321
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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 | TPMC7234
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License Number State | FL
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