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General NPI Number Information
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NPI Number | 1275686594
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Entity Type | Individual
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Provider Name | AIDA MUSABEGOVICH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3959 BROADWAY BH6N-632
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-9146
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Fax | 212-305-6614
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Provider Business Mailing Address
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Address Line | 56 BENNETT AVE #6D
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City | NEW YORK
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State | NY
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Zip | 10033-2146
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Country | US
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Telephone | 212-795-1974
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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 | 014141
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License Number State | NY
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