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General NPI Number Information
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NPI Number | 1174622948
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Entity Type | Individual
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Provider Name | ELISABETH N KULCSAR PHD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | CMR 454
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City | APO
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State | AE
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Zip | 09250
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Country | US
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Telephone | 011491528628
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT. OF THE ARMY, ANSBACH GARRISON, BEHAVIORAL HEALTH UNIT 28614
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City | APO
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State | AE
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Zip | 09177-8614
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Country | US
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Telephone | 01149981183
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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 | PS00951
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License Number State | RI
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