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General NPI Number Information
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NPI Number | 1093886152
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Entity Type | Individual
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Provider Name | MEGAN JENNIFER CLARY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 32 COURT ST 9TH FLOOR SUITE 904
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City | BROOKLYN
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State | NY
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Zip | 11201-4404
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Country | US
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Telephone | 212-802-8663
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Fax |
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Provider Business Mailing Address
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Address Line | 365 CLINTON AVE #10H
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City | BROOKLYN
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State | NY
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Zip | 11238-1176
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Country | US
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Telephone | 917-923-2388
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016413
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License Number State | NY
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