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General NPI Number Information
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NPI Number | 1972040731
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Entity Type | Organization
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Legal Business Name | MK CARE INC.
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 244 5TH AVE #2001
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 347-766-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 244 5TH AVE #2001
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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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 | THERAPIST
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Name | MIYUKI KOBAYASHI
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Credential | LMHC
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Telephone | 347-766-0277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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