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General NPI Number Information
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NPI Number | 1841169638
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Entity Type | Individual
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Provider Name | MIRANDA WILKOTZ LP
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Gender |
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 31 W 10TH ST APT 2A
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City | NEW YORK
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State | NY
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Zip | 10011-8775
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Country | US
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Telephone | 443-794-7708
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Fax |
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Provider Business Mailing Address
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Address Line | 31 W 10TH ST APT 2A
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City | NEW YORK
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State | NY
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Zip | 10011-8775
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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 |
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001266
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License Number State | NY
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