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General NPI Number Information
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NPI Number | 1083815591
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Entity Type | Individual
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Provider Name | DR. NAOMI HELEN GREENBLATT
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 60 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3506
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Country | US
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Telephone | 201-658-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 533 WINTHROP RD
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City | TEANECK
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State | NJ
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Zip | 07666-2970
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Country | US
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Telephone | 201-837-5105
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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 | 25MA08194900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 241824
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License Number State | NY
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