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General NPI Number Information
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NPI Number | 1427379072
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Entity Type | Organization
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Legal Business Name | B. SAND, PSYCHOLOGIST P.C.
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 725 166TH ST #4C
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City | WHITESTONE
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State | NY
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Zip | 11357-2061
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Country | US
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Telephone | 347-405-8130
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Fax | 347-405-8131
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Provider Business Mailing Address
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Address Line | 725 166TH ST #4C
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City | WHITESTONE
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State | NY
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Zip | 11357-2061
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Country | US
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Telephone | 347-405-8130
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Fax | 347-405-8131
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Authorized Official
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Title or Position | PSYCHOLOGIST/CEO
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Name | MRS. BILLY SAND
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Credential | PH.D.
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Telephone | 347-405-8130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 014110-1
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License Number State | NY
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