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General NPI Number Information
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NPI Number | 1982475620
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Entity Type | Organization
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Legal Business Name | KHOAI PSYCHOTHERAPY, LCSW
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 125 E 23RD ST STE 304
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City | NEW YORK
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State | NY
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Zip | 10010-4576
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Country | US
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Telephone | 917-475-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 63 DOWNING ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10014-4331
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Country | US
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Telephone | 817-999-2388
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. URMI CHAKRABARTI
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Credential | LCSW
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Telephone | 917-475-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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