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General NPI Number Information
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NPI Number | 1831664754
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Entity Type | Individual
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Provider Name | MICHELLE J HONG
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Gender | Female
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Dates
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Enumeration Date | 10/07/2018
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Last Update Date | 10/07/2018
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Provider Practice Location Address
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Address Line | 136 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6711
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Country | US
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Telephone | 836-646-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 102 EIDNER WAY
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City | NORTHVALE
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State | NJ
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Zip | 07647-1800
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Country | US
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Telephone | 201-815-1164
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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 |
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License Number State |
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