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General NPI Number Information
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NPI Number | 1013280205
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Entity Type | Individual
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Provider Name | CLARE GASKINS PHD
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Gender | Female
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 39 E 78TH ST STE 501
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City | NEW YORK
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State | NY
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Zip | 10075-0214
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Country | US
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Telephone | 631-645-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 8531 120TH ST APARTMENT 1E
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City | KEW GARDENS
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State | NY
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Zip | 11415-3130
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Country | US
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Telephone | 631-645-5559
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Fax |
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 019492
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License Number State | NY
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