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General NPI Number Information
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NPI Number | 1194485086
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Entity Type | Individual
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Provider Name | DR. KAREN SHULAMIS POLLAK
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | MAAPELEI EGOZ 12 BET APT 1
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City | BEIT SHEMESH
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State | ISRAEL
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Zip | 99999
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Country | IL
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Telephone | 53-524-1948
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Fax |
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Provider Business Mailing Address
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Address Line | 275 MAPLE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3203
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Country | US
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Telephone | 551-404-5734
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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 | 019905-1
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License Number State | NY
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