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General NPI Number Information
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NPI Number | 1083042360
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Entity Type | Individual
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Provider Name | RIVKA TENENBAUM-PRECEL PH.D
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 260 MADISON AVE STE 8089
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City | NEW YORK
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State | NY
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Zip | 10016-2401
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Country | US
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Telephone | 917-733-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W 67TH ST APT 49G
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City | NEW YORK
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State | NY
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Zip | 10023-5952
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Country | US
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Telephone | 917-733-7408
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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