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General NPI Number Information
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NPI Number | 1023483161
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Entity Type | Individual
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Provider Name | ANDREW ATHAN MCALEAVEY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 425 E 61ST ST PH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10065-8722
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Country | US
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Telephone | 212-821-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 21 BREVOORT PL APT 1
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City | BROOKLYN
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State | NY
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Zip | 11216-1881
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Country | US
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Telephone | 571-243-9332
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P00213
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License Number State | NY
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