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General NPI Number Information
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NPI Number | 1265670194
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Entity Type | Individual
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Provider Name | GARY BRUSCHI PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 10 GRACE AVE SUITE 12 D
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City | GREAT NECK
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State | NY
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Zip | 11021-2423
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Country | US
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Telephone | 515-773-3607
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Fax |
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Provider Business Mailing Address
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Address Line | 382 CENTRAL PARK W APT. 11 L
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City | NEW YORK
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State | NY
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Zip | 10025-6054
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Country | US
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Telephone | 212-769-0977
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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 | 007179
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License Number State | NY
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