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General NPI Number Information
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NPI Number | 1386976983
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Entity Type | Individual
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Provider Name | CATHERINE (KATE) MCKNIGHT WOLFSON PHD
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Gender | Female
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 1775 BROADWAY SUITE 601
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City | NEW YORK
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State | NY
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Zip | 10019-1903
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Country | US
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Telephone | 212-246-5736
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Fax |
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Provider Business Mailing Address
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Address Line | 303 GREENWICH ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10013-3962
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Country | US
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Telephone | 646-584-6354
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 018470
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License Number State | NY
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