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General NPI Number Information
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NPI Number | 1952199028
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Entity Type | Organization
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Legal Business Name | EBON IS LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 825 BOYNTON AVE APT 15L
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City | BRONX
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State | NY
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Zip | 10473-4723
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Country | US
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Telephone | 347-749-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 825 BOYNTON AVE APT 15L
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City | BRONX
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State | NY
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Zip | 10473-4723
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Country | US
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Telephone | 347-749-3801
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARICE OSEI
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Credential |
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Telephone | 347-749-3801
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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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