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General NPI Number Information
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NPI Number | 1427529262
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Entity Type | Individual
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Provider Name | MICHELLE ENG PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 137 E 36TH ST STE 4
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City | NEW YORK
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State | NY
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Zip | 10016-3528
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Country | US
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Telephone | 631-312-6635
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HEWITT SQ # 1030
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-2519
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Country | US
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Telephone | 908-485-7902
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022963
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License Number State | NY
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