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General NPI Number Information
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NPI Number | 1952855249
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY & SPIRITUALITY INSTITUTE
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 120 BROADWAY FL 38
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City | NEW YORK
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State | NY
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Zip | 10271-3999
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Country | US
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Telephone | 212-285-1552
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BROADWAY FL 38
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City | NEW YORK
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State | NY
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Zip | 10271-3999
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Country | US
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Telephone | 212-285-1552
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. MARY RAGAN
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Credential | PHD
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Telephone | 212-285-1552
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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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