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General NPI Number Information
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NPI Number | 1114534757
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Entity Type | Individual
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Provider Name | JOSHUA ANDREW HAAG PHD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 100 BEEKMAN ST APT 5M
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City | NEW YORK
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State | NY
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Zip | 10038-0052
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Country | US
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Telephone | 718-614-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BEEKMAN ST APT 5M
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City | NEW YORK
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State | NY
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Zip | 10038-0052
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Country | US
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Telephone | 718-614-2474
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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 | 023911
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License Number State | NY
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