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General NPI Number Information
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NPI Number | 1033875059
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Entity Type | Individual
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Provider Name | ALISON CLARVIT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 11/14/2021
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Provider Practice Location Address
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Address Line | 15050 14TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-2609
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Country | US
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Telephone | 718-767-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 55 W 25TH ST APT 25C
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City | NEW YORK
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State | NY
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Zip | 10010-2146
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Country | US
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Telephone | 914-391-5939
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 2775628
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License Number State | NY
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