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General NPI Number Information
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NPI Number | 1295885275
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Entity Type | Individual
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Provider Name | SHOSHANNA MUST PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 141 NORTH CENTRAL AVENUE C/O WJCS
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 914-949-6761
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Fax | 914-949-3224
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Provider Business Mailing Address
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Address Line | 321 W 108TH ST APT. 4R
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City | NEW YORK
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State | NY
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Zip | 10025-2733
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Country | US
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Telephone | 914-668-8938
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Fax | 914-668-2545
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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 | 017892-1
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License Number State | NY
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