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General NPI Number Information
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NPI Number | 1083748313
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Entity Type | Individual
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Provider Name | ANA DYBNER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 1623 3RD AVE STE 201
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City | NEW YORK
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State | NY
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Zip | 10128-3638
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Country | US
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Telephone | 917-843-6284
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E 86TH ST APT 4C
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City | NEW YORK
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State | NY
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Zip | 10028-0501
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Country | US
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Telephone | 212-722-8889
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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 | 010668-1
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License Number State | NY
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