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General NPI Number Information
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NPI Number | 1275452716
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Entity Type | Individual
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Provider Name | FARRAHDYA TASSY PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 99 WALL ST # 4424
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 212-906-4495
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Fax |
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Provider Business Mailing Address
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Address Line | 195 CENTRAL AVE # 4203
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City | METUCHEN
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State | NJ
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Zip | 08840-1848
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Country | US
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Telephone | 917-994-1971
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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 | 35SI00815300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 028304
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License Number State | NY
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