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General NPI Number Information
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NPI Number | 1952178808
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Entity Type | Individual
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Provider Name | MR. MICKEY DANIEL FIELD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 225 BROADWAY STE 2060
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City | NEW YORK
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State | NY
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Zip | 10007-3748
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Country | US
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Telephone | 646-586-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 17 HANOVER PL APT 19B
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City | BROOKLYN
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State | NY
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Zip | 11201-7924
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Country | US
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Telephone | 646-644-2750
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P137644
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License Number State | NY
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