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General NPI Number Information
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NPI Number | 1902550650
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Entity Type | Individual
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Provider Name | SHRUTHI NAIR LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 315 MADISON AVE STE 2401
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City | NEW YORK
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State | NY
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Zip | 10017-5457
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Country | US
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Telephone | 718-407-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WINSTON DR APT 3016
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3234
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Country | US
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Telephone | 914-481-7193
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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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