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General NPI Number Information
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NPI Number | 1023199866
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Entity Type | Individual
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Provider Name | MEREDITH LISA TANOWITZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 N BROADWAY SUITE 110
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2670
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Country | US
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Telephone | 914-299-1377
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Fax | 914-238-9084
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Provider Business Mailing Address
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Address Line | 40 SPRING LN
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City | CHAPPAQUA
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State | NY
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Zip | 10514-2608
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Country | US
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Telephone | 914-299-1377
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Fax | 914-238-9084
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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 | 015331-1
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License Number State | NY
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