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General NPI Number Information
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NPI Number | 1164727533
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Entity Type | Organization
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Legal Business Name | RALPH BIEBER PSYCHOLOGIST PC
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 150 SOUTH ST
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City | OYSTER BAY
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State | NY
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Zip | 11771-2244
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Country | US
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Telephone | 516-624-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 933 RIPLEY LN
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City | OYSTER BAY
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State | NY
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Zip | 11771-4300
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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 | DIRECTOR
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Name | RALPH BIEBER
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Credential | PH.D.
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Telephone | 516-398-3938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 012328
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License Number State | NY
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