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General NPI Number Information
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NPI Number | 1144341652
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Entity Type | Individual
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Provider Name | ROBERT NACHTMAN PH.D
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 233 UNION AVE STE 101
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City | HOLBROOK
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State | NY
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Zip | 11741-1813
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Country | US
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Telephone | 631-979-7728
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Fax | 631-366-4816
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Provider Business Mailing Address
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Address Line | 25204 ANNS CHOICE WAY
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City | WARMINSTER
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State | PA
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Zip | 18974-3363
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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 |
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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 | 4492
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License Number State | NY
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