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General NPI Number Information
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NPI Number | 1093745234
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Entity Type | Individual
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Provider Name | FRANKLIN A PORTER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 W 86TH ST SUITE 502
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City | NEW YORK
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State | NY
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Zip | 10024-3666
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Country | US
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Telephone | 917-750-2462
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Fax | 212-769-0559
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Provider Business Mailing Address
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Address Line | 5 W 86TH ST APT. 3A
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City | NEW YORK
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State | NY
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Zip | 10024-3603
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Country | US
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Telephone | 917-750-2462
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Fax | 212-769-0559
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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 | 009608-1
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License Number State | NY
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