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General NPI Number Information
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NPI Number | 1821246943
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Entity Type | Individual
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Provider Name | RANIA LEE K KANAZI
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 24 E 12TH ST RM 605 FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10003-4552
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Country | US
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Telephone | 917-496-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 24 E 12TH ST RM 605 FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10003-4552
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Country | US
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Telephone | 917-496-6806
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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 | 074308-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 73077356
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License Number State | NY
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