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General NPI Number Information
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NPI Number | 1922417468
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Entity Type | Organization
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Legal Business Name | NOVELLA CONSULTATIONS, INC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 900 BROADWAY SUITE 403
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City | NEW YORK
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State | NY
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Zip | 10003-1210
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Country | US
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Telephone | 718-360-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 174 15TH ST APT 6
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City | BROOKLYN
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State | NY
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Zip | 11215-4830
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Country | US
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Telephone | 718-360-3156
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/OWNER
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Name | MS. CORINNE NOVELLA
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Credential | LCSW
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Telephone | 718-360-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 080258
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License Number State | NY
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