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General NPI Number Information
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NPI Number | 1205449907
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Entity Type | Organization
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Legal Business Name | JORDAN DANN, PSYCHOANALYST, P.C.
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 352 7TH AVE FL 12A
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City | NEW YORK
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State | NY
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Zip | 10001-5893
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Country | US
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Telephone | 970-618-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 915 E 17TH ST APT 509
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City | BROOKLYN
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State | NY
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Zip | 11230-3767
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Country | US
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Telephone | 970-618-2256
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Fax |
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Authorized Official
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Title or Position | PSYCHOANALYST
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Name | JORDAN MACKSOUD DANN
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Credential | LP
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Telephone | 970-618-2256
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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 |
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License Number State |
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