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General NPI Number Information
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NPI Number | 1104585900
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Entity Type | Organization
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Legal Business Name | DELIBERATE SOLUTIONS, INC.
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1890 7TH AVE APT 5C
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City | NEW YORK
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State | NY
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Zip | 10026-2813
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Country | US
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Telephone | 650-804-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 1562 1ST AVE # 205-3059
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City | NEW YORK
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State | NY
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Zip | 10028-4004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MARC AAFJES
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Credential | MSM, MSC
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Telephone | 650-804-5550
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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 |
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License Number State |
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