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General NPI Number Information
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NPI Number | 1326100983
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Entity Type | Individual
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Provider Name | DEEANNE DOZIER KIND P.H.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 123 W 79TH ST PH 2
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City | NEW YORK
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State | NY
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Zip | 10024-6480
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Country | US
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Telephone | 212-579-5814
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Fax |
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Provider Business Mailing Address
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Address Line | 73 BUFF RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1453
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Country | US
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Telephone | 201-568-0656
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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 | 011186
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License Number State | NY
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