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General NPI Number Information
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NPI Number | 1427306596
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Entity Type | Organization
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Legal Business Name | ERICA B. SAYPOL, PH.D., LLC
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 15 VALLEY DR SUITE 304
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 917-691-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 108 STURBRIDGE HILL RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-4241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERICA SAYPOL
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Credential |
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Telephone | 917-691-7985
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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 | 003081
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License Number State | CT
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