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NPI 1407880495

NPI 1407880495 : ANDREW MERLING PHD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1407880495
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW MERLING PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/10/2006
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    Last Update Date     |    05/02/2024
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Provider Practice Location Address
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    Address Line         |    330 W 58TH ST APT 18F 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-1844
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    Country              |    US
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    Telephone            |    179-882-4471
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    344 MONTROSE AVE STE 18F 
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    City                 |    SOUTH ORANGE
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    State                |    NJ
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    Zip                  |    07079-2439
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    Country              |    US
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    Telephone            |    917-882-4471
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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       |    013235
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    License Number State |    NY
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