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General NPI Number Information
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NPI Number | 1871144352
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Entity Type | Individual
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Provider Name | HEATHER SARA VANI LMHC, BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 600 HEMPSTEAD TPKE STE 120
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-1036
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Country | US
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Telephone | 516-592-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 271 BALDWIN PATH
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City | DEER PARK
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State | NY
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Zip | 11729-1417
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Country | US
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Telephone | 516-592-3132
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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 | 004589
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License Number State | NY
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