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General NPI Number Information
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NPI Number | 1083813802
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Entity Type | Individual
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Provider Name | GAVI ELYN HOLLANDER GAVI HOLLANDER, D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | NEW YORK UNIVERSITY, STUDENT HEALTH CENTER 726 BROADWAY, ROOM 476
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-998-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 216 E 29TH ST APT 5B APT. #5B
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City | NEW YORK
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State | NY
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Zip | 10016-8596
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Country | US
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Telephone | 609-760-3087
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 239085
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License Number State | NY
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