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General NPI Number Information
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NPI Number | 1053108944
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Entity Type | Individual
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Provider Name | DR. EMILY RENTZ
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 205 HUDSON ST FL 9
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City | NEW YORK
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State | NY
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Zip | 10013-1810
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 7502 AUSTIN ST APT 5I
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City | FOREST HILLS
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State | NY
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Zip | 11375-6232
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Country | US
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Telephone | 845-558-0770
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 023673
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 023673
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License Number State | NY
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