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General NPI Number Information
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NPI Number | 1235326000
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Entity Type | Organization
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Legal Business Name | EGER PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 90 BRYANT AVE B-TC
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1952
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Country | US
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Telephone | 914-946-0142
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Fax | 914-288-8007
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Provider Business Mailing Address
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Address Line | 90 BRYANT AVE B-TC
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1952
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Country | US
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Telephone | 914-946-0142
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Fax | 914-288-8007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J. EGER
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Credential | PH.D.
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Telephone | 914-946-0142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 007001-1
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License Number State | NY
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