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General NPI Number Information
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NPI Number | 1144263799
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Entity Type | Individual
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Provider Name | RICHARD A ZWEIG PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 585 PLANDOME RD SUITE 106
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City | MANHASSET
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State | NY
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Zip | 11030-1971
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Country | US
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Telephone | 718-430-3958
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Fax |
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Provider Business Mailing Address
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Address Line | 25 PEPPERDAY AVE
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2411
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Country | US
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Telephone | 516-944-0019
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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 | 010287-1
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License Number State | NY
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