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General NPI Number Information
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NPI Number | 1932985991
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Entity Type | Organization
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Legal Business Name | AUDREY MAHLER LCAT INC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 139 FULTON ST # 612C
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City | NEW YORK
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State | NY
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Zip | 10038-2594
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Country | US
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Telephone | 917-640-8133
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Fax |
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Provider Business Mailing Address
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Address Line | 139 FULTON ST # 612C
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City | NEW YORK
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State | NY
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Zip | 10038-2594
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | AUDREY MAHLER
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Credential | LCAT
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Telephone | 646-807-4193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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