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General NPI Number Information
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NPI Number | 1255642658
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Entity Type | Individual
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Provider Name | MIRA HOPE CYMERMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 75 S BROADWAY STE 415
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4413
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Country | US
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Telephone | 914-400-5499
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Fax | 914-400-5499
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Provider Business Mailing Address
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Address Line | 7 DEER RUN
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3721
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Country | US
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Telephone | 914-400-5499
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 016693
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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 | PY0590
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License Number State | NV
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