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General NPI Number Information
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NPI Number | 1083023873
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Entity Type | Organization
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Legal Business Name | JENNIFER PRITT, PSY.D
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 91 SMITH AVE
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City | MOUNT KISCO
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State | NY
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Zip | 10549-2810
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Country | US
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Telephone | 914-439-4997
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Fax |
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Provider Business Mailing Address
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Address Line | 78 LOCKWOOD RD
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City | SOUTH SALEM
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State | NY
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Zip | 10590-2328
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Country | US
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Telephone | 914-439-4997
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JENNIFER PRITT
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Credential | PSY.D.
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Telephone | 914-439-4997
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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 | 019340
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License Number State | NY
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