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General NPI Number Information
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NPI Number | 1194877738
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Entity Type | Organization
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Legal Business Name | ROBERT P. NUSSBAUM PH.D DBA SOLUTIONS FOR HEALTH
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 59 N MAIN ST STE 201
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City | LIBERTY
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State | NY
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Zip | 12754-1888
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Country | US
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Telephone | 800-576-7437
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Fax | 845-292-5101
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Provider Business Mailing Address
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Address Line | PO BOX 560
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City | FERNDALE
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State | NY
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Zip | 12734-0560
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Country | US
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Telephone | 718-853-3333
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Fax | 718-853-3333
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERT PAUL NUSSBAUM
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Credential | PH.D
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Telephone | 718-853-3333
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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 | NY-005720
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License Number State | NY
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