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NPI 1043850092

NPI 1043850092 : SARAH CHEN PHD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1043850092
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH CHEN PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/07/2020
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    Last Update Date     |    01/07/2020
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Provider Practice Location Address
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    Address Line         |    45 E 20TH ST FL 6 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003-1308
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    Country              |    US
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    Telephone            |    917-473-8869
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    70 LITTLE WEST ST APT 18C 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10004-7436
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    Country              |    US
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    Telephone            |    
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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       |    023565
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    License Number State |    NY
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