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General NPI Number Information
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NPI Number | 1942902804
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Entity Type | Individual
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Provider Name | HADIYA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 875 6TH AVE RM 2300
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City | NEW YORK
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State | NY
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Zip | 10001-3507
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Country | US
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Telephone | 732-778-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 249 LIBERTY AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07307-4413
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Country | US
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Telephone | 551-226-0017
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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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