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General NPI Number Information
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NPI Number | 1205349560
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Entity Type | Individual
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Provider Name | JAMES PEEL LP
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Gender | Male
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 77 BLEECKER ST APT 111C
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City | NEW YORK
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State | NY
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Zip | 10012-1584
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Country | US
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Telephone | 347-262-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LUNDE LN
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City | HILLSDALE
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State | NY
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Zip | 12529-5141
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Country | US
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Telephone | 347-262-6899
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001009
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License Number State | NY
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