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General NPI Number Information
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NPI Number | 1780764183
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Entity Type | Individual
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Provider Name | ANNE ELIZABETH MITCH CNS,LP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 280 MADISON AVE SUITE 1108 AND 608
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 646-335-3619
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Fax |
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Provider Business Mailing Address
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Address Line | 280 MADISON AVE SUITE 1108AND 608
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 646-335-3619
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 131221
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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 | 00347-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00347-1
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License Number State | NY
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