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General NPI Number Information
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NPI Number | 1922503861
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Entity Type | Individual
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Provider Name | JENNIFER JUDITH QUIJADA LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 579 COURTLANDT AVE
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City | BRONX
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State | NY
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Zip | 10451-5013
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Country | US
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Telephone | 718-485-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 208 UNION AVE APT 0
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6036
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Country | US
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Telephone | 914-433-5957
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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 | 009901
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License Number State | NY
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