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General NPI Number Information
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NPI Number | 1134326309
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Entity Type | Organization
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Legal Business Name | CAROL MUTTERPERL PSYCHOLOGY, PC.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 117 W 72ND ST 5E
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City | NEW YORK
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State | NY
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Zip | 10023-3204
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Country | US
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Telephone | 212-579-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 115 CENTRAL PARK W 10E
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City | NEW YORK
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State | NY
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Zip | 10023-4198
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Country | US
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Telephone | 212-579-6665
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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. CAROL MUTTERPERL
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Credential | PSY.D.
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Telephone | 212-362-8995
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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 | 008989
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License Number State | NY
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