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General NPI Number Information
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NPI Number | 1386022291
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Entity Type | Organization
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Legal Business Name | COGNITIVE BEHAVIORAL AND INTEGRATIVE PSYCHOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 4015 15TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-4528
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Country | US
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Telephone | 718-633-1515
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Fax | 718-633-1593
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Provider Business Mailing Address
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Address Line | 4015 15TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-4528
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Country | US
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Telephone | 718-633-1515
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Fax | 718-633-1593
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN HILFER
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Credential | PH.D.
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Telephone | 718-633-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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