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General NPI Number Information
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NPI Number | 1407975311
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Entity Type | Individual
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Provider Name | CLIO VARDOPOULOS HATZIYANNAKIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD
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City | WEST POINT
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State | NY
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Zip | 10996-1197
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Country | US
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Telephone | 845-938-3441
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Fax | 845-938-5770
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Provider Business Mailing Address
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Address Line | KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD
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City | WEST POINT
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State | NY
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Zip | 10996-1197
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Country | US
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Telephone | 315-774-8221
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Fax | 845-938-5770
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5488
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License Number State | FL
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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 | 013368-1
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License Number State | NY
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