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General NPI Number Information
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NPI Number | 1245912849
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Entity Type | Individual
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Provider Name | SARA BABAD PHD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1100
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Country | US
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Telephone | 718-470-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 350 PACIFIC AVE
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City | CEDARHURST
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State | NY
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Zip | 11516-1814
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Country | US
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Telephone | 516-578-5698
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 68-P118180-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 68-P118180-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 68-P118180-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 68-P118180-01
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License Number State | NY
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