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General NPI Number Information
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NPI Number | 1891294245
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Entity Type | Individual
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Provider Name | KRISTEN CALLARI LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 211 E 43RD ST STE 639
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City | NEW YORK
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State | NY
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Zip | 10017-4707
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Country | US
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Telephone | 347-790-1765
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Fax |
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Provider Business Mailing Address
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Address Line | 9811 65TH AVE APT 4A
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City | REGO PARK
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State | NY
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Zip | 11374-3420
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Country | US
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Telephone | 347-790-1765
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001447
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License Number State | NY
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