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NPI 1316461940

NPI 1316461940 : DANIA PAULA MS.ED : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1316461940
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    Entity Type          |    Individual 
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    Provider Name        |    DANIA PAULA MS.ED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2017
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    Last Update Date     |    07/26/2017
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Provider Practice Location Address
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    Address Line         |    4225 CARPENTER AVE APT 3C 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10466-2624
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    Country              |    US
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    Telephone            |    16463169365
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4225 CARPENTER AVE APT 3C 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10466-2624
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    Country              |    US
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    Telephone            |    16463169365
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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       |    2731188
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    License Number State |    NY
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