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General NPI Number Information
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NPI Number | 1235686072
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Entity Type | Individual
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Provider Name | DAVID TZALL PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 36 PLAZA ST E STE 1A
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City | BROOKLYN
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State | NY
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Zip | 11238-5039
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Country | US
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Telephone | 202-577-3714
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Fax |
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Provider Business Mailing Address
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Address Line | 300 8TH ST APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11215-7501
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Country | US
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Telephone | 202-577-3714
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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 | 021771-1
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License Number State | NY
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