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General NPI Number Information
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NPI Number | 1467545731
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Entity Type | Individual
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Provider Name | MARGARITA ROSA PAREDES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 115W 27TH ST 4
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City | NEW YORK
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State | NY
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Zip | 10001-6217
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Country | US
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Telephone | 312-852-7783
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 46TH ST 5A
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City | SUNNYSIDE
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State | NY
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Zip | 11104-2049
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Country | US
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Telephone | 312-852-7783
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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 | 019433
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License Number State | NY
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