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General NPI Number Information
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NPI Number | 1255543567
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Entity Type | Individual
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Provider Name | DEBBIE M MAGIDS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 96 5TH AVE APT 1K
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City | NEW YORK
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State | NY
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Zip | 10011-7604
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Country | US
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Telephone | 646-369-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 155 W 21ST ST APT 5G
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 646-369-2488
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 012716-1
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License Number State | NY
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