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General NPI Number Information
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NPI Number | 1265628903
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Entity Type | Individual
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Provider Name | NANCY HOLLINGER-SAMSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 240 MARTINE AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-327-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 240 MARTINE AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-327-9559
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 015312
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License Number State | NY
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