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General NPI Number Information
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NPI Number | 1225302599
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Entity Type | Organization
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Legal Business Name | 2ND CITY PSYCHOLOGICAL CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 60 E 42ND ST SUITE 1060
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City | NEW YORK
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State | NY
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Zip | 10165-0006
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Country | US
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Telephone | 914-712-8771
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E 42ND ST SUITE 1060
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City | NEW YORK
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State | NY
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Zip | 10165-0006
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Country | US
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Telephone | 914-712-8771
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. REON BAIRD
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Credential | PHD
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Telephone | 914-712-8771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 017751-1
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License Number State | NY
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