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General NPI Number Information
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NPI Number | 1316218548
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Entity Type | Individual
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Provider Name | EMMA DURAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 09/26/2021
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Provider Practice Location Address
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Address Line | 223 KATONAH AVE STE H
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City | KATONAH
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State | NY
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Zip | 10536-2193
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Country | US
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Telephone | 149-458-1921
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PEACH RD
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City | MAHOPAC
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State | NY
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Zip | 10541-5327
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Country | US
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Telephone | 347-416-2609
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 019208-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019208-1
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License Number State | NY
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