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General NPI Number Information
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NPI Number | 1003973322
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Entity Type | Individual
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Provider Name | KAREN JULIE GREENE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 123 W 79TH ST SUITE LL6
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City | NEW YORK
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State | NY
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Zip | 10024-6480
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Country | US
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Telephone | 212-781-3967
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Fax | 845-680-7792
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | ORANGEBURG
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State | NY
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Zip | 10962-0566
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Country | US
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Telephone | 212-781-3967
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Fax | 845-680-7792
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9866
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License Number State | NY
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