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General NPI Number Information
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NPI Number | 1144930132
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Entity Type | Organization
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Legal Business Name | AUTHENTICITY NYC PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 4260 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10033
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Country | US
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Telephone | 917-714-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 FREDERICK DOUGLASS BLVD STE 276
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City | NEW YORK
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State | NY
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Zip | 10026-1123
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Country | US
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Telephone | 917-714-5778
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. CAPRICE WARCHOL
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Credential | PSYD
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Telephone | 917-714-5778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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