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General NPI Number Information
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NPI Number | 1912282229
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Entity Type | Individual
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Provider Name | JORGE PINA LMHC
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Gender | Male
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 311 AUDUBON AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10033-4237
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Country | US
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Telephone | 347-884-3544
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Fax | 212-837-2787
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Provider Business Mailing Address
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Address Line | 5030 BROADWAY SUITE 620
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City | NEW YORK
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State | NY
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Zip | 10034-1609
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Country | US
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Telephone | 347-884-3544
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Fax | 646-484-6915
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5786-R
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | TPMC956
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004855
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License Number State | NY
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