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General NPI Number Information
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NPI Number | 1285775072
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Entity Type | Individual
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Provider Name | FERN SANDLER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 47 HUMPHREY DR
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City | SYOSSET
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State | NY
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Zip | 11791-4022
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Country | US
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Telephone | 516-921-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 8 STAUBER DR
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City | PLAINVIEW
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State | NY
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Zip | 11803-4835
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Country | US
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Telephone | 516-939-2875
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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 | 015809
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License Number State | NY
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