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General NPI Number Information
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NPI Number | 1811743651
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Entity Type | Organization
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Legal Business Name | WESTCHESTER MARRIAGE AND FAMILY THERAPY RELATIONSHIP GROUP PLLC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 235 MAIN ST STE 515
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2439
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Country | US
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Telephone | 516-673-1417
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Fax |
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Provider Business Mailing Address
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Address Line | 3074 XAVIER PL
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City | OCEANSIDE
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State | NY
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Zip | 11572-4223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARC FERNANDEZ
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Credential | LMFT
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Telephone | 516-673-1417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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