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General NPI Number Information
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NPI Number | 1124563580
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Entity Type | Organization
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Legal Business Name | QUIPP, P.C.
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 116 W 23RD ST SUITE 500
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone | 347-371-0411
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Fax | 212-304-0290
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Provider Business Mailing Address
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Address Line | 116 W 23RD ST SUITE 500
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone | 347-371-0411
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Fax | 212-304-0290
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. H L HIMES
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Credential | PSYD
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Telephone | 347-371-0411
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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 | 018696
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License Number State | NY
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