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General NPI Number Information
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NPI Number | 1245101047
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Entity Type | Organization
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Legal Business Name | AUTHENTIC INSIGHT PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 31 W 34TH ST 8TH FL PMB 8093
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City | NEW YORK
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State | NY
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Zip | 10001-3009
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Country | US
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Telephone | 347-201-0492
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Fax |
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Provider Business Mailing Address
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Address Line | 31 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-3009
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Country | US
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Telephone | 347-201-0492
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. OLGA GULYAYEVA FULLER
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Credential | PHD
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Telephone | 347-201-0492
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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 |
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License Number State |
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