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General NPI Number Information
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NPI Number | 1174776074
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Entity Type | Individual
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Provider Name | LEE RICHARD MELTZER L.P.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 646-600-8251
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Fax | 419-728-9699
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Provider Business Mailing Address
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Address Line | 4 LAMPLIGHT ST
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City | BEACON
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State | NY
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Zip | 12508-1465
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Country | US
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Telephone | 516-817-0780
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Fax | 419-728-9699
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 000449
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License Number State | NY
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