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General NPI Number Information
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NPI Number | 1104072081
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Entity Type | Organization
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Legal Business Name | DR. DALE ATKINS PSYCHOLOGY PC
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 19 E 73RD ST SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10021-3523
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Country | US
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Telephone | 212-744-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 19 E 73RD ST SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10021-3523
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Country | US
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Telephone | 212-744-5700
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. DALE VICKY ATKINS
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Credential |
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Telephone | 203-625-3165
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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 | 012069-1
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License Number State | NY
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