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General NPI Number Information
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NPI Number | 1235502964
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Entity Type | Organization
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Legal Business Name | HOLLY HART, PSYD, PC
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 18 E 16TH ST 502B
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City | NEW YORK
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State | NY
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Zip | 10003-3111
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Country | US
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Telephone | 646-926-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 598 17TH ST #3
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City | BROOKLYN
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State | NY
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Zip | 11218-1112
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Country | US
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Telephone | 646-926-1424
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOLLY HART
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Credential |
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Telephone | 646-926-1424
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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 | 68 018546
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License Number State | NY
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