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General NPI Number Information
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NPI Number | 1043612351
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Entity Type | Individual
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Provider Name | DR. JOSEPH F. ATANASIO III
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Gender | Male
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 7210 112TH ST OFC B
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City | FOREST HILLS
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State | NY
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Zip | 11375-5467
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Country | US
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Telephone | 862-216-8398
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Fax | 718-873-2089
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Provider Business Mailing Address
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Address Line | 7210 112TH ST OFC B
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City | FOREST HILLS
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State | NY
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Zip | 11375-5467
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Country | US
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Telephone | 862-216-8398
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Fax | 718-873-2089
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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 |
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License Number State |
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