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General NPI Number Information
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NPI Number | 1205504305
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Entity Type | Individual
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Provider Name | DANIELLE DIFILIPO PHD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 68 35TH STREET BUILDING 4, SUITE C-556
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 718-622-4058
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Fax |
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Provider Business Mailing Address
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Address Line | 730 W 183RD ST APT 2F
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City | NEW YORK
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State | NY
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Zip | 10033-5204
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 02414801
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 02414801
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License Number State | NY
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