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General NPI Number Information
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NPI Number | 1275741100
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Entity Type | Individual
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Provider Name | DIANA REYNA SAAL I DIANA SAAL
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 910 W END AVE 1C
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City | NEW YORK
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State | NY
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Zip | 10025-3533
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Country | US
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Telephone | 212-851-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 3989 50TH ST #6K
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City | WOODSIDE
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State | NY
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Zip | 11377-3178
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Country | US
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Telephone | 347-656-3442
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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 | 2454
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License Number State | MA
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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 | 019863
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License Number State | NY
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