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General NPI Number Information
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NPI Number | 1184115875
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Entity Type | Organization
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Legal Business Name | CHELSEA PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 49 W 24TH ST STE 506
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City | NEW YORK
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State | NY
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Zip | 10010-3206
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Country | US
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Telephone | 212-620-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 49 W 24TH ST STE 506
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City | NEW YORK
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State | NY
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Zip | 10010-3206
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Country | US
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Telephone | 212-620-6176
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JAMES ALBERT POLLOCK IV
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Credential | PHD
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Telephone | 212-620-6176
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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 | 020735
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License Number State | NY
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