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General NPI Number Information
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NPI Number | 1164203741
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Entity Type | Organization
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Legal Business Name | MONIKA DARGIS, PHD, PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 1123 BROADWAY STE 1017
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City | NEW YORK
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State | NY
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Zip | 10010-2162
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Country | US
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Telephone | 929-276-2707
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Fax |
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Provider Business Mailing Address
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Address Line | 180 BROOME ST APT 603
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City | NEW YORK
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State | NY
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Zip | 10002-5744
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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 | OWNER
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Name | MONIKA DARGIS
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Credential | PHD
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Telephone | 815-762-5453
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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 |
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License Number State |
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