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General NPI Number Information
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NPI Number | 1225029036
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Entity Type | Individual
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Provider Name | NANCY PHYLLIS FIELDMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 2 MADISON AVE STE 201
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City | LARCHMONT
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State | NY
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Zip | 10538-1961
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Country | US
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Telephone | 914-328-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RENAISSANCE SQ UNIT 22E
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3004
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Country | US
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Telephone | 914-318-7099
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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 | 011749
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License Number State | NY
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