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General NPI Number Information
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NPI Number | 1215282934
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Entity Type | Individual
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Provider Name | MEREDITH TOWNES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 01/01/2016
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Provider Practice Location Address
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Address Line | 111 E 210TH ST ROSENTHAL 2
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 347-504-5403
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Fax |
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Provider Business Mailing Address
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Address Line | 59 HERITAGE DR APT B
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City | NEW CITY
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State | NY
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Zip | 10956-5331
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Country | US
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Telephone | 917-689-7589
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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 | 019633
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License Number State | NY
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