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General NPI Number Information
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NPI Number | 1275095358
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Entity Type | Individual
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Provider Name | JENNIFER MOOTZ PHD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 5 W 86TH ST APT 9C
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City | NEW YORK
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State | NY
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Zip | 10024-3664
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Country | US
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Telephone | 347-429-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 660 FORT WASHINGTON AVE APT 5D
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City | NEW YORK
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State | NY
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Zip | 10040-3908
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Country | US
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Telephone |
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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 | 022526
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License Number State | NY
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