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General NPI Number Information
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NPI Number | 1336522564
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Entity Type | Individual
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Provider Name | SARAH BRENNAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 450 W 24TH ST #1F
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City | NEW YORK
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State | NY
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Zip | 10011-1351
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Country | US
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Telephone | 917-319-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 507 2ND ST APT 1R
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City | BROOKLYN
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State | NY
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Zip | 11215-2670
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Country | US
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Telephone | 718-230-3767
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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 | 021211
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License Number State | NY
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