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General NPI Number Information
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NPI Number | 1386707768
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Entity Type | Individual
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Provider Name | MICHAEL LONSKI PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 3 NEW YORK PLZ SUITE 1401
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City | NEW YORK
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State | NY
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Zip | 10004-2442
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Country | US
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Telephone | 203-912-5547
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SHORE RD
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City | OLD GREENWICH
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State | CT
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Zip | 06870-2214
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Country | US
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Telephone | 203-912-5547
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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 | 001665
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 007029
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License Number State | NY
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