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NPI 1902420904

NPI 1902420904 : THERAPY IN ARMS LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1902420904
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPY IN ARMS LLC 
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Dates
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    Enumeration Date     |    06/04/2020
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    Last Update Date     |    06/04/2020
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Provider Practice Location Address
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    Address Line         |    347 5TH AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-5010
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    Country              |    US
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    Telephone            |    646-895-5895
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    99 MAUREEN DR 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10940-6676
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    Country              |    US
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    Telephone            |    917-294-1293
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. ANDREA REYES MERINO 
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    Credential           |    LCSW
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    Telephone            |    917-294-1293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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