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General NPI Number Information
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NPI Number | 1255639191
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Entity Type | Individual
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Provider Name | ALAN MARC SLOMOWITZ PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 330 W 58TH ST SUITE 608
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City | NEW YORK
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State | NY
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Zip | 10019-1827
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Country | US
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Telephone | 917-270-2139
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Fax |
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Provider Business Mailing Address
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Address Line | 10325 68TH AVE APT 5F
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City | FOREST HILLS
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State | NY
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Zip | 11375-3206
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Country | US
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Telephone | 718-459-0523
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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 | 007121-1
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License Number State | NY
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