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General NPI Number Information
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NPI Number | 1154496024
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Entity Type | Individual
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Provider Name | DAVID B YOURMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 211 W 56TH ST APT. 30D
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City | NEW YORK
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State | NY
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Zip | 10019-4312
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Country | US
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Telephone | 212-977-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 439 E 19TH ST
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City | BROOKLYN
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State | NY
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Zip | 11226-6705
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Country | US
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Telephone | 718-941-3824
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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 | 014748
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License Number State | NY
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