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General NPI Number Information
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NPI Number | 1225409741
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Entity Type | Individual
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Provider Name | CHRISTINE FOERTSCH PH.D
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 140 W 86TH ST 1C
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City | NEW YORK
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State | NY
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Zip | 10024-4034
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Country | US
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Telephone | 212-877-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CUTLER LN
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City | GARRISON
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State | NY
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Zip | 10524-3919
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Country | US
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Telephone | 914-522-8773
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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 | 012079
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License Number State | NY
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